MARTIN Z. KANNER, M.D., P.A. (NPI# 1548229859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548229859 |
| Entity Type | Organization |
| Organization Name | MARTIN Z. KANNER, M.D., P.A. |
| Practice Address |
1700 Reisterstown Rd Suite 224 Baltimore MD 21208-1416 |
| Practice Telephone | 4104860927 |
| Practice Fax Number | 4103584020 |
| Mailing Telephone | 4104860927 |
| Mailing Fax Number | 4103584020 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARTIN ZELIG KANNER (OFFICER) |
| Authorized Official Telephone | 4104860927 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
D0020618 | MD | Ambulatory Health Care Facilities |
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
D0020618 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL DEA | AK7595551 | 01 | |
| MD | STATE DEA | M04706 | 01 |
| MD | STATE LICENSE | D0020618 | 01 |
| Street Address |
1700 REISTERSTOWN RD SUITE 224 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21208-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187796 | Glenn H Lichtman | Pharmacist | 1700 Reisterstown Rd, Suite 206, Baltimore, MD 21208-1416 | 2006-01-03 |
| 1386155737 | Jean Hoffman | Pharmacist | 1700 Reisterstown Rd, Baltimore, MD 21208-1416 | 2017-10-12 |
| 1669859435 | Samuel Wealcatch, D.d.s., P.a. | Clinic/Center | 1700 Reisterstown Rd, 106-107, Baltimore, MD 21208-1416 | 2015-04-30 |
| 1316371552 | Carol Susan Thelen | Nurse Practitioner | 1700 Reisterstown Rd, Suite 214, Baltimore, MD 21208-1416 | 2013-08-23 |
| 1245508936 | Karen Patrice Brown-cornish | Physical Therapist | 1700 Reisterstown Rd, Suite 214, Baltimore, MD 21208-1416 | 2011-12-08 |
| 1508144619 | Community Health Center, LLC | Clinic/Center | 1700 Reisterstown Rd, Suite 214, Baltimore, MD 21208-1416 | 2011-07-25 |
| 1558594523 | Maryland Home Health, LLC | Home Health | 1700 Reisterstown Rd, #109, Baltimore, MD 21208-1416 | 2009-08-25 |
| 1871627752 | United Cerebral Palsy of Central Maryland, Inc. | Day Training, Developmentally Disabled Services | 1700 Reisterstown Rd, Suite 226, Baltimore, MD 21208-1416 | 2007-03-15 |
| 1740314624 | United Cerebral Palsy of Central Md. Inc. | Day Training, Developmentally Disabled Services | 1700 Reisterstown Rd, Suite 226, Baltimore, MD 21208-1416 | 2007-03-15 |
| 1659405538 | United Cerebral Palsy of Central Maryland, Inc | Day Training, Developmentally Disabled Services | 1700 Reisterstown Rd, Suite 226, Baltimore, MD 21208-1416 | 2007-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1023651155 | Joy Noble Dpt, LLC | Clinic/Center | 12 W Montgomery St Ste 105, Baltimore, MD 21230-4490 | 2019-10-22 |
| 1245880509 | Core and More Physical Therapy, LLC | Clinic/Center | 6814 Navajo Dr, Baltimore, MD 21209-1518 | 2019-09-18 |
| 1730699018 | Esterson and Associates, P.C. | Clinic/Center | 2 W Rolling Xrds Ste 100-102, Baltimore, MD 21228-6208 | 2017-10-02 |
| 1578001590 | Door To Door Physical Therapy, LLC | Clinic/Center | 221 S Chester St Apt B, Baltimore, MD 21231-2626 | 2017-02-09 |
| 1720450224 | Meraki Physical Therapy and Pilates, LLC | Clinic/Center | 5002 Lawndale Ave Ste A, Baltimore, MD 21210-2086 | 2015-10-22 |
| 1609269612 | Total Sports Rehab and Physical Therapy of Maryland LLC. | Clinic/Center | 5834 East Ave, Baltimore, MD 21206-1413 | 2015-03-15 |
| 1750792958 | Drayer Physcial Therapy of Maryland, LLC | Clinic/Center | 7850 Rossville Blvd Ste 206-208, Baltimore, MD 21236-3934 | 2014-05-12 |
| 1770904278 | Sunshine Rehab LLC | Clinic/Center | 5441 Baltimore National Pike, Suite# 16, Baltimore, MD 21229-2102 | 2013-12-30 |
| 1003126368 | Cjb Therapy Center | Clinic/Center | 3301 Benson Ave, Baltimore, MD 21227-1001 | 2010-10-20 |
| 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.