ST. AGNES HOSPITAL (NPI# 1518112432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518112432 |
| Entity Type | Organization |
| Organization Name | ST. AGNES HOSPITAL |
| Practice Address |
900 Caton Ave Emergency Dept Baltimore MD 21229-5201 |
| Practice Telephone | 2406010691 |
| Mailing Telephone | 2406010691 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | DR. JON FALCK (ED PHYSICIAN/SUPERVISING PHYSICIAN) |
| Authorized Official Telephone | 4103682014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | C0003903 | MD | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497154470 | St. Agnes Hospital | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Department of Surgery, Baltimore, MD 21229-5201 | 2014-08-15 |
| 1649520826 | St. Agnes Hospital | General Acute Care Hospital | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2012-09-14 |
| 1720337546 | St. Agnes Hospital | General Acute Care Hospital | 1910 Towne Centre Blvd, Apt 613, Annapolis, MD 21401 | 2012-09-07 |
| Street Address |
900 CATON AVE EMERGENCY DEPT |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617021 | Susan L Behen | Surgery | 900 Caton Ave, Baltimore, MD 21229-5201 | 2005-05-23 |
| 1992326532 | Seton Medical Group, Inc | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-05-06 |
| 1801416821 | Deanna Dong | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-04-20 |
| 1780225326 | St. Agnes Healthcare, Inc. | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-10-04 |
| 1346890886 | Mary B Krause | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1447800974 | Tyrone Qualls | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1669020301 | Lori Anne Massey | Nurse Practitioner | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-08-27 |
| 1265086649 | Lilia Gutierrez Villarin | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-24 |
| 1699328245 | St. Agnes Healthcare, Inc. | Audiologist-Hearing Aid Fitter | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-23 |
| 1780168351 | Ahmad Ali Al-abdouh | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2018-09-19 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961510 | Comptroller of Maryland Central Payroll Bureau | General Acute Care Hospital | 1 W Pratt St, Baltimore, MD 21201-2433 | 2020-04-17 |
| 1215312350 | Abdullah Alsuwailem | General Acute Care Hospital | 22 S Greene St., Baltimore, MD 21201 | 2015-07-29 |
| 1083099923 | Johns Hopkins | General Acute Care Hospital | 777 S Eden St Apt 1106, Baltimore, MD 21231-2848 | 2015-07-21 |
| 1811371537 | Norma Velasco Flores | General Acute Care Hospital | 7516 Gilley Ter, Baltimore, MD 21237-3703 | 2015-07-13 |
| 1093120107 | Alexandra Forest | General Acute Care Hospital | 8 Charles Plz Apt 1108, Baltimore, MD 21201-4219 | 2014-06-26 |
| 1477978807 | Johns Hopkins Hospital | General Acute Care Hospital | 1800 Orleans St # 6107d, Baltimore, MD 21287-0010 | 2014-02-21 |
| 1285073239 | Allegheny General Hospital | General Acute Care Hospital | 10 S Calhoun St, Baltimore, MD 21223-2409 | 2013-06-21 |
| 1376989368 | Gilbert Miracle Burnham | General Acute Care Hospital | 615 N Wolfe St # E8132, Baltimore, MD 21205-2103 | 2013-05-16 |
| 1508115122 | Saint Agnes Hospital | General Acute Care Hospital | 1210 Westerlee Pl Apt T1, Baltimore, MD 21228-3733 | 2012-08-29 |
| 1699020917 | Johns Hopkins | General Acute Care Hospital | 951 Fell St, Apt 618, Baltimore, MD 21231-3586 | 2012-07-24 |
| 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.