CHARLES J BAE (NPI# 1477592335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477592335 |
| Entity Type | Individual |
| Full Name | CHARLES J BAE |
| Credential | MD |
| Practice Address |
3624 Market St Ste 201 Philadelphia PA 19104-2614 |
| Mailing Address |
3624 Market St Ste 201 Philadelphia PA 19104-2614 |
| Practice Telephone | (215) 662-7772 |
| Mailing Telephone | (215) 662-7772 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD461584 | PA | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
MD461584 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2372847 | 05 | |
| OH | MEDICARE RAILROAD | 130026373 | 01 |
| Street Address |
3624 MARKET ST STE 201 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952651556 | Caitlin J Dougherty | Nurse Practitioner | 3624 Market St Ste 201, Philadelphia, PA 19104-2614 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968703 | Joshua Karl Kutinsky | Psychiatry & Neurology | 1528 Walnut St Ste 1500, Philadelphia, PA 19102-3611 | 2017-08-17 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1386818540 | Jefferson University Physicians | Psychiatry & Neurology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609146398 | Lawrence Green | Psychiatry & Neurology | 315 Maple Ave, Swarthmore, PA 19081-1412 | 2012-01-11 |
| 1861609711 | Eric M Levin Md | Psychiatry & Neurology | 144 S 8th St Ste 101, Chambersburg, PA 17201-2752 | 2007-05-17 |
| 1750383246 | Eric Marc Levin | Psychiatry & Neurology | 901 E Mckinley St, Chambersburg, PA 17201-2823 | 2005-08-15 |
| 1801417126 | Capital Neurology | Psychiatry & Neurology | 4250 Crums Mill Rd Ste 102, Harrisburg, PA 17112-2889 | 2020-04-27 |
| 1982015186 | Sergiu Abramovici | Psychiatry & Neurology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2014-05-11 |
| 1689011207 | James Francis Castellano | Psychiatry & Neurology | 3471 5th Ave Ste 810, Pittsburgh, PA 15213 | 2013-05-23 |
| 1083963169 | Anthony Storm Junod | Psychiatry & Neurology | 200 Scenery Dr, State College, PA 16801 | 2012-09-05 |
| 1306115738 | Ahmed Moh'd Abdel Latif Yassin | Psychiatry & Neurology | 3471 5th Ave, Suite 811, Pittsburgh, PA 15213-3215 | 2011-12-13 |
| 1851629646 | Denise E Ewald | Psychiatry & Neurology | 1288 Valley Forge Rd, Phoenixville, PA 19460-2687 | 2009-12-07 |
| 1801021886 | Crystal Thomas | Psychiatry & Neurology | 301 S 7th St, Suite 210, Reading, PA 19602-2432 | 2009-05-20 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.