MR. ETIENNE T NGOUMGNA


Address: 821 N Eutaw St, Suite 103, Baltimore, MD 21201-4648
Phone: 4102258760

MR. ETIENNE T NGOUMGNA (NPI# 1487891776) 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) 1487891776
Entity Type Individual
Full Name MR. ETIENNE T NGOUMGNA
Credential PA-C MHS MSC
Practice Address 821 N Eutaw St
Suite 103
Baltimore
MD 21201-4648
Practice Telephone 4102258760
Mailing Telephone 4102258760
Enumeration Date 2009-01-08
Last Update Date 2010-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant C0002500 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical 		C0002500 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 821 N EUTAW ST
SUITE 103
City BALTIMORE
State MD
Zip Code 21201-4648

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063495232 Kavita B Kalra Internal Medicine 821 N Eutaw St, Suite 206, Baltimore, MD 21201-4648 2005-11-22
1750917399 Maria Higgins Nurse Practitioner 821 N Eutaw St, Baltimore, MD 21201-4648 2020-03-16
1457870461 Awawu Aramide Ojikutu Nurse Practitioner 821 N Eutaw St, Baltimore, MD 21201-4648 2017-09-12
1265977433 University of Maryland Midtown Health, Inc. Clinic/Center 821 N Eutaw St, Baltimore, MD 21201-4648 2016-12-27
1568721546 Glass Health Programs. Inc. Clinic/Center 821 N Eutaw St, Suite 201, Baltimore, MD 21201-4648 2012-05-10
1326335829 Camelle Stacian Redding Nurse Practitioner 821 N Eutaw St, Suite 308, Baltimore, MD 21201-4648 2011-07-05
1538475694 Liaqat Ali, Md Pa Internal Medicine 821 N Eutaw St, 103, Baltimore, MD 21201-4648 2010-08-27
1972833812 Falls Medical Group LLC Family Medicine 821 N Eutaw St, Suite 305, Baltimore, MD 21201 2009-12-27
1376877621 Krishnan Hematology Oncology Associates LLC Internal Medicine 821 N Eutaw St, Baltimore, MD 21201-4648 2009-09-18
1467615500 Dimitra Mitsani Internal Medicine 821 N Eutaw St, Suite 308, Baltimore, MD 21201-4648 2008-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585470 Meshref Ayed Alshehri Student in an Organized Health Care Education/Training Program 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-07-08
1306462411 Michael Julian Wong Student in an Organized Health Care Education/Training Program University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 2020-06-24
1740817733 Martha Kaitlyn Coghlan Student in an Organized Health Care Education/Training Program Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 2020-03-27
1629606637 Taylor Renee Kai Student in an Organized Health Care Education/Training Program University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-03-27
1295362697 Brittany A Oster Student in an Organized Health Care Education/Training Program 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 2020-03-25
1346877735 Kayvon Michael Mobarakeh Student in an Organized Health Care Education/Training Program University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 2020-03-25
1598392284 Zachary Allan Hagen Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 2020-03-24
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
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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 21201

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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