MR. SAMUEL THOMAS RUNFOLA (NPI# 1528168481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528168481 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL THOMAS RUNFOLA |
| Credential | MSPT, OCS |
| Practice Address |
4924 Campbell Blvd Suite 130-a Baltimore MD 21236-5908 |
| Practice Telephone | 4434422050 |
| Practice Fax Number | 4434422054 |
| Mailing Telephone | 4434422050 |
| Mailing Fax Number | 4434422054 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
18310 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4924 CAMPBELL BLVD SUITE 130-A |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415388 | Tigist Hailu | Internal Medicine | 4924 Campbell Blvd, Ste 110, Baltimore, MD 21236-5908 | 2005-05-31 |
| 1750676904 | Nicole Marie Blake | Physical Therapist | 4924 Campbell Blvd, Baltimore, MD 21236-5908 | 2011-06-16 |
| 1558652776 | Thomas Adams Corson | Internal Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2011-04-21 |
| 1497055123 | Virginia E. Conner | Physician Assistant | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2010-10-28 |
| 1952615791 | Erin Lindsay Johnson | Physical Therapist | 4924 Campbell Blvd, Ste 130-a, Baltimore, MD 21236-5908 | 2010-08-04 |
| 1922251701 | Patient First Maryland Medical Group, Pllc | Non-Pharmacy Dispensing Site | 4924 Campbell Blvd, Ste 125, Baltimore, MD 21236-5908 | 2008-10-24 |
| 1952552267 | Patient First Maryland Medical Group Pllc | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-10-06 |
| 1023272747 | Jason Donald Main | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1376707000 | Alexander Marcus Steiner | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1164699310 | Nana Yaw Ampaw Adu-sarkodie | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
| 1417323833 | Daniel Seubert | Physical Therapist | 8520 Drumwood Rd, Baltimore, MD 21286 | 2015-08-19 |
| 1326052515 | Ian West | Physical Therapist | 210 E Centre St, Baltimore, MD 21202-3619 | 2006-07-27 |
| 1750862835 | Zachary S Mitchell | Physical Therapist | 1420 Clarkview Rd, Baltimore, MD 21209-2104 | 2018-08-27 |
| 1851885768 | Simeon Lee Mellinger | Physical Therapist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2018-06-15 |
| 1184179046 | Allan H Macht Pa | Physical Therapist | 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 | 2016-08-22 |
| 1255886032 | David Anthony Reymann | Physical Therapist | 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 | 2016-08-22 |
| 1659739761 | Miriam Higgins | Physical Therapist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2016-02-03 |
| 1144606641 | Rebecca Manning | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-08-06 |
| 1417136946 | Margaret Mary Cruse | Physical Therapist | 7850 Eastern Ave, Baltimore, MD 21224-2115 | 2007-11-01 |
| 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.