GLENN A JOCKLE (NPI# 1548202989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548202989 |
| Entity Type | Individual |
| Full Name | GLENN A JOCKLE |
| Credential | MD |
| Practice Address |
345 St. Paul Place, 7th Floor Department of Pathology Baltimore MD 21202-2102 |
| Mailing Address |
301 St. Paul Place Medical Staff Office Baltimore MD 21202-2102 |
| Practice Telephone | 4103326882 |
| Practice Fax Number | 4102342558 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
D0026956 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BC / BS OF MD | S797 / 600433-01 | 01 |
| MD | BC / BS OF MD | KU59ST / 600433-01 | 01 |
| MD | 429581100 | 05 | |
| MD | BLUECHOICE | S185 / 0015 | 01 |
| Street Address |
345 ST. PAUL PLACE, 7TH FLOOR DEPARTMENT OF PATHOLOGY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053352070 | Saint Paul Place Specialists, Inc. | Pathology | 345 St. Paul Place, 7th Floor, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396944344 | Kathleen Murphy | Pathology | Park Ss 202c, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2007-07-11 |
| 1053352070 | Saint Paul Place Specialists, Inc. | Pathology | 345 St. Paul Place, 7th Floor, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1740717396 | Nicolas Alejandro Giraldo Castillo | Pathology | 600 N Wolfe St Rm 401, Baltimore, MD 21287-0005 | 2017-05-15 |
| 1396958344 | Fanghong Li | Pathology | 600 N Wolfe St, Dept of Pathology, Baltimore, MD 21287 | 2007-05-07 |
| 1679618359 | St Paul Place Specialists, Inc. | Pathology | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2007-02-21 |
| 1043362536 | Ming-tseh Lin | Pathology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2007-01-17 |
| 1366553455 | Robert E Wenk | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-08-31 |
| 1154367860 | Lisa S Logan | Pathology | 301 Saint Paul Pl, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-21 |
| 1992740591 | Gary Warnock | Pathology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-18 |
| 1649212085 | Edgar L Alonsozana | Pathology | 301 Saint Paul Pl, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-11 |
| 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.