ELLEN L. NORDBROOK (NPI# 1558388900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558388900 |
| Entity Type | Individual |
| Full Name | ELLEN L. NORDBROOK |
| Credential | PA-C |
| Practice Address |
3333 N Calvert St Suite 400 Baltimore MD 21218-2867 |
| Practice Telephone | 4105542270 |
| Practice Fax Number | 4105542832 |
| Mailing Telephone | 4105542270 |
| Mailing Fax Number | 4105542832 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0000695 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3333 N CALVERT ST SUITE 400 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394142 | Dawn W. Kershner | Internal Medicine | 3333 N Calvert St, Ste 500, Baltimore, MD 21218-6502 | 2005-05-31 |
| 1821557414 | Stephanie Lynn Horrocks | Nurse Practitioner | 3333 N Calvert St, Baltimore, MD 21218-2867 | 2019-03-14 |
| 1851875686 | Emily Wyse Newman | Physician Assistant | 3333 N Calvert St, Baltimore, MD 21218-2867 | 2018-09-18 |
| 1265951412 | Michelle Kim | Physician Assistant | 3333 N Calvert St, Baltimore, MD 21218-2867 | 2017-09-19 |
| 1477097236 | Courtney Anne Waldhauser | Physician Assistant | 3333 N Calvert St, Suit 400, Baltimore, MD 21218-2867 | 2016-12-13 |
| 1013317486 | Total Audiology LLC | Audiologist | 3333 N Calvert St, Johnston Professional Building Suite 680, Baltimore, MD 21218-2867 | 2014-09-03 |
| 1336561091 | Chesapeake Cardiovascular Associates LLC | Internal Medicine | 3333 N Calvert St, Jpb Suite 500, Baltimore, MD 21218-2867 | 2014-01-15 |
| 1811320898 | Nasseri Clinic of Arthritic & Rheumatic Diseases | Internal Medicine | 3333 N Calvert St, Suite 570, Baltimore, MD 21218-2876 | 2013-08-14 |
| 1508206780 | Alexandra Macmeekin Ryan | Audiologist | 3333 N Calvert St, Suite 680, Baltimore, MD 21218-2867 | 2013-07-02 |
| 1588004071 | Raktim Kumar Ghosh | Internal Medicine | 3333 N Calvert St, Baltimore, MD 21218-2867 | 2013-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1962014233 | Julian Kang | Physician Assistant | 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 | 2020-08-18 |
| 1962034868 | Ruth Angelica Naomi Jasienski | Physician Assistant | 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 | 2020-02-08 |
| 1679115463 | Mark Symancyk | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-13 |
| 1356800353 | Kara M Dragunas | Physician Assistant | 6701 N Charles St Rm 3808, Baltimore, MD 21204-6808 | 2019-03-19 |
| 1184190480 | Joshua Davidoff | Physician Assistant | 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 | 2018-10-15 |
| 1083189005 | Bing Wang | Physician Assistant | 6701 N Charles St Rm 3641, Baltimore, MD 21204-6808 | 2018-10-05 |
| 1932674140 | Georgia Foulds | Physician Assistant | 5801 Smith Ave Ste 210, Baltimore, MD 21209-3652 | 2018-10-04 |
| 1922582576 | Catherine Kashmer | Physician Assistant | 600 N Wolfe St Ste 1008, Baltimore, MD 21287-0005 | 2018-09-19 |
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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.