GREATER BALTIMORE MEDICAL CENTER, INC. (NPI# 1528096377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528096377 |
| Entity Type | Organization |
| Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Other Organization Name | GBMC, INC.-VASCULAR SURGERY |
| Practice Address |
6569 N Charles St Ste 701 Baltimore MD 21204-6831 |
| Mailing Address |
Po Box 631568 Baltimore MD 21263-1568 |
| Practice Telephone | 4438493431 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | MR. ERIC MELCHIOR (EXECUTIVE VICE PRES & CFO) |
| Authorized Official Telephone | 4438492519 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST MARYLAND | KJ64GB | 01 |
| MD | CAREFIRST REGIONAL | S130 | 01 |
| Other Name | Type Code |
|---|---|
| GBMC, Inc.-Vascular Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
| 1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
| 1114257144 | Greater Baltimore Medical Center, Inc. | Medical Genetics | 6701 N Charles St Unit 23, Baltimore, MD 21204-6808 | 2010-01-14 |
| 1164675906 | Greater Baltimore Medical Center, Inc. | Occupational Therapist | 6569 N Charles St Ste 305, Baltimore, MD 21204-5817 | 2008-10-24 |
| 1760625883 | Greater Baltimore Medical Center, Inc. | Neurological Surgery | 6535 N Charles St Ste 600, Baltimore, MD 21204-5827 | 2009-04-20 |
| 1194963496 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6535 N Charles St, Ste 125, Baltimore, MD 21204-5826 | 2009-01-26 |
| 1194973396 | Greater Baltimore Medical Center, Inc. | Audiologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-09-03 |
| 1568624856 | Greater Baltimore Medical Center, Inc. | Speech-Language Pathologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-06-27 |
| 1689702227 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-03-02 |
| 1467589705 | Greater Baltimore Medical Center, Inc. | Family Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER BALTIMORE MEDICAL CENTER, INC. | 6701 N Charles St, Baltimore, MD 21204-6808 |
| Street Address |
6569 N CHARLES ST STE 701 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689052888 | Podiatry Associates, P.a. | Podiatrist | 6569 N Charles St, Suite 702, Baltimore, MD 21204-6831 | 2015-05-08 |
| 1659793123 | Marisa Sanders | Speech-Language Pathologist | 6569 N Charles St, Ppw, Suite 401, Baltimore, MD 21204-6831 | 2014-01-17 |
| 1831511625 | Melissa A Bidlack | Speech-Language Pathologist | 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 | 2014-01-13 |
| 1043646847 | Daniel A Sherwood | Speech-Language Pathologist | 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 | 2013-09-25 |
| 1568898070 | Jessica Silinonte | Speech-Language Pathologist | 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 | 2013-09-17 |
| 1225463821 | Greater Baltimore Plastic and Hand Surgery Associates, LLC | Surgery | 6569 N Charles St, Suite 706, Baltimore, MD 21204-6831 | 2013-09-13 |
| 1942575964 | Maryland Prosthodontic Associates, PC | Dentist | 6569 N Charles St, Physicians Pavilion West, Suite 601, Baltimore, MD 21204-6831 | 2012-03-09 |
| 1164739678 | Sandra D. Quartner, M.d., Pa | Specialist | 6569 N Charles St, Ste 304, Baltimore, MD 21204-6831 | 2010-09-03 |
| 1780997593 | Ari Hayim Elman | Internal Medicine | 6569 N Charles St, Suite 205, Baltimore, MD 21204-6831 | 2010-07-21 |
| 1346488343 | Mid Atlantic Eye, LLC | Ophthalmology | 6569 N Charles St, Gbmc Pavilion West, Suite 505, Baltimore, MD 21204-6831 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815530 | Bay Vascular Surgery, LLC | Surgery | 3623 Falls Rd, Baltimore, MD 21211-1815 | 2007-11-15 |
| 1811042641 | Kevin Arthur Brown | Surgery | 3333 N Calvert St Ste 325, Baltimore, MD 21218-2866 | 2007-01-24 |
| 1881625564 | Brajesh Kumar Lal | Surgery | 22 S Greene St # N4w66, Baltimore, MD 21201-1544 | 2006-07-05 |
| 1790757847 | Fayyaz Haider Hashmi | Surgery | 2435 W Belvedere Ave Ste 35, Baltimore, MD 21215-5224 | 2006-02-03 |
| 1528402252 | Sarasijhaa K Desikan | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201 | 2013-04-24 |
| 1710245931 | Jason Andrew Chin | Surgery | 3333 N Calvert St, Johnston Professional Building 325, Baltimore, MD 21218-2850 | 2012-04-25 |
| 1356607139 | Caitlin Whitney Hicks | Surgery | 600 N Wolfe St, Halsted 668, Baltimore, MD 21287-0005 | 2012-04-06 |
| 1043530553 | Michael R Hall | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2010-06-07 |
| 1568694875 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1629208749 | Alain Tanbe | Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2009-07-23 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on GREATER BALTIMORE MEDICAL CENTER, INC..
| 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.