WENDY JO SUBASIC (NPI# 1427107580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427107580 |
| Entity Type | Individual |
| Full Name | WENDY JO SUBASIC |
| Credential | PA |
| Practice Address |
3407 Wilkens Ave Suite 210 Baltimore MD 21229-5072 |
| Mailing Address |
25 Crossroads Dr Suite 306 Owings Mills MD 21117-5421 |
| Practice Telephone | 4106440929 |
| Mailing Telephone | 4437382872 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MD0003372 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3407 WILKENS AVE SUITE 210 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687178 | Martin A. Albornoz | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2005-05-31 |
| 1356729040 | Edilberto Atienza Jr. | Family Medicine | 3407 Wilkens Ave, Baltimore, MD 21229 | 2015-05-13 |
| 1760879738 | Neleen Bonilla Orsal | Nurse Practitioner | 3407 Wilkens Ave, Baltimore, MD 21229-5072 | 2015-04-17 |
| 1417379777 | Omoteniola Awofolu Dds. LLC | Dentist | 3407 Wilkens Ave, Suite 205, Baltimore, MD 21229-5072 | 2014-01-06 |
| 1205023280 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 3407 Wilkens Ave, Suite 200, Baltimore, MD 21229-5072 | 2007-10-03 |
| 1942341912 | David J. Wang | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2007-02-10 |
| 1720135544 | Bishoy Gayed | Urology | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2007-01-04 |
| 1437253127 | Sondra Beth Barker | Nurse Practitioner | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2006-09-12 |
| 1346257540 | Avinash L. Ganti | Surgery | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2006-08-01 |
| 1104830579 | Matthew R Voss | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
| 1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
| 1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
| 1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
| 1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
| 1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
| 1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
| 1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
| 1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.