DONALD S. DIEFENDORF


Address: 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209
Phone: 4103778900

DONALD S. DIEFENDORF (NPI# 1437187002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437187002
Entity Type Individual
Full Name DONALD S. DIEFENDORF
Credential P.A.-C
Practice Address 2700 Quarry Lake Dr Ste 300
Baltimore
MD 21209
Mailing Address 2700 Quarry Lake Dr Ste 300
Baltimore
MD 21209-3746
Practice Telephone 4103778900
Practice Fax Number 4103770576
Mailing Telephone 4103778900
Mailing Fax Number 4103770576
Enumeration Date 2006-06-30
Last Update Date 2019-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0002134 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2700 QUARRY LAKE DR STE 300
City BALTIMORE
State MD
Zip Code 21209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487125340 Jennifer M Pederson Physician Assistant 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2018-12-17
1013426477 Ariana Karnado Physician Assistant 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 2017-09-28
1972027779 Rebecca Webb Physician Assistant 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2017-08-02
1336698497 Paula Christel Santos Mercado Physician Assistant 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2016-09-29
1801344403 Etai David Gamliel Physical Therapist 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2016-09-13
1184178097 Sarah Koteen Scheff Physical Therapist 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 2016-08-09
1942754833 Steven Shinsky Physical Therapist 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2016-08-08
1063881779 Krystin Trego Physician Assistant 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2015-09-23
1356603260 Morenikeji Ayodele Buraimoh Orthopaedic Surgery 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209 2012-06-15
1861754830 Sarah Baker Registered Nurse 2700 Quarry Lake Dr Ste 300, Baltimore, MD 21209-3746 2012-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659996239 Esther Deena Kahn Occupational Therapist 2325 Blackberry Rd, Baltimore, MD 21209 2020-06-10
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1982241626 Mary Della-davis Technician, Other 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 2019-12-02
1982161246 Sylvia Stewart Powell Social Worker 4600 Falls Road, Baltimore, MD 21209 2019-02-22
1811452279 Honeyb Wellness Counselor 4639 Falls Rd, Baltimore, MD 21209 2019-02-09
1417448861 Ting-jia Rosalinda Huang Lorigiano Student in an Organized Health Care Education/Training Program 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-05-22
1427546126 Lea Jane Selitsky Student in an Organized Health Care Education/Training Program The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-04-27
1508362609 Total Women's Health of Baltimore,pa Obstetrics & Gynecology 6080 Falls Rd Ste 204, Baltimore, MD 21209 2018-04-05
1083118418 Jerome N Beck Speech-Language Pathologist 5710 Newbury St., Baltimore, MD 21209 2018-03-21
1700309002 Michelle Demeule-hayes Dietitian, Registered 1708 West Rogers Ave, Baltimore, MD 21209 2017-07-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BALTIMORE
Zip Code 21209

Improve Information

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Dataset Information

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.

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