MAMUKA MACHAIDZE (NPI# 1538573530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538573530 |
| Entity Type | Individual |
| Full Name | MAMUKA MACHAIDZE |
| Credential | MD |
| Practice Address |
5200 Eastern Ave Baltimore MD 21224-2734 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4105507330 |
| Practice Fax Number | 4105501169 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
D88356 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5200 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360774 | David Wu | Internal Medicine | 5200 Eastern Ave, Mfl Ste 2300, Baltimore, MD 21224-2734 | 2005-10-20 |
| 1073132833 | Caitlyn Dawn Ahlberg | Student in an Organized Health Care Education/Training Program | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2020-04-13 |
| 1417576174 | Anna Patnaik | Student in an Organized Health Care Education/Training Program | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2020-04-13 |
| 1033738802 | Zachary Wayne Lorenz | Student in an Organized Health Care Education/Training Program | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2020-04-13 |
| 1144791757 | Kimberley Celeste Palm | Physician Assistant | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2018-12-07 |
| 1467930594 | Carla Bes | Physician Assistant | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2018-07-31 |
| 1720591027 | Matthew Hamill | Student in an Organized Health Care Education/Training Program | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2017-11-08 |
| 1386167393 | Lindsey Marie Wood | Physician Assistant | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2017-07-21 |
| 1831629435 | Nuzhat Jabeen Sayyida | Internal Medicine | 5200 Eastern Ave, Baltimore, MD 21224-2734 | 2017-06-15 |
| 1891229449 | Srishti Lipsa Bhagat | Student in an Organized Health Care Education/Training Program | 5200 Eastern Ave, Mason F. Lord Building Center Tower 3rd Floor, Room 342, Baltimore, MD 21224-2734 | 2017-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689060295 | Takaaki Kobayashi | Internal Medicine | 929 N Wolfe St, #219d, Baltimore, MD 21205-1132 | 2015-04-09 |
| 1629467402 | Jessica Queen | Internal Medicine | 1717 E Monument St Bldg Ground, Baltimore, MD 21287-0027 | 2015-01-15 |
| 1053659177 | Clayton Louis Moravec Jr. | Internal Medicine | 1400 Lancaster St Apt 605, Baltimore, MD 21231-3352 | 2013-01-24 |
| 1144581885 | Ibukunolupo Odunayo Oni | Internal Medicine | Gbmc Main Hospital, 6701 North Charles Street, Suite 5100, Baltimore, MD 21204 | 2012-05-30 |
| 1568728145 | Karen Coffey | Internal Medicine | 1800 Orleans St # 522b, Baltimore, MD 21287-0010 | 2012-04-08 |
| 1992096432 | Gregory Michael Schrank | Internal Medicine | 22 S Greene St # T3n30, Baltimore, MD 21201 | 2011-05-02 |
| 1104143122 | Susan A Tuddenham | Internal Medicine | 5200 Eastern Ave Bldg Center, Division of Infectious Diseases, Suite 381, Baltimore, MD 21224-2734 | 2010-04-29 |
| 1922323732 | Jeffrey Tornheim | Internal Medicine | 5200 Eastern Ave Bldg 381, Baltimore, MD 21224-2734 | 2010-04-05 |
| 1841455177 | Daniel J Morgan | Internal Medicine | 100 N Greene St, Lower Level, Baltimore, MD 21201-1563 | 2008-07-25 |
| 1346419090 | Damani A. Piggott | Internal Medicine | 2213 Mcelderry St, 1st Floor,m141, Baltimore, MD 21205-2400 | 2008-02-27 |
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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.