DR. DAMON JOHN PETTINELLI (NPI# 1558477448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558477448 |
| Entity Type | Individual |
| Full Name | DR. DAMON JOHN PETTINELLI |
| Credential | M.D. |
| Practice Address |
6231 N Charles St Baltimore MD 21212-1113 |
| Mailing Address |
8618 Eastern Morning Run Laurel MD 20723-5865 |
| Practice Telephone | 4103772044 |
| Practice Fax Number | 4103778061 |
| Mailing Telephone | 3013174956 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | D0058950 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
6231 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173197 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 6231 N Charles St, Baltimore, MD 21212-1113 | 2020-01-08 |
| 1154961134 | Chesapeake Eye Care & Laser Center LLC | Optometrist | 6231 N Charles St, Baltimore, MD 21212-1113 | 2020-01-08 |
| 1508911660 | Baltimore Eye Physicians, LLC | Ophthalmology | 6231 N Charles St, Baltimore, MD 21212 | 2007-01-25 |
| 1720139512 | Baltimore Eye Surgical Center,llc | Clinic/Center | 6231 N Charles St, Baltimore, MD 21212-1113 | 2007-01-16 |
| 1023126208 | Allan Griffiths Scott | Ophthalmology | 6231 N Charles St, Baltimore, MD 21212-1113 | 2006-08-28 |
| 1871609719 | Gregory John Sophocleus | Ophthalmology | 6231 N Charles St, Baltimore, MD 21212-1113 | 2006-08-22 |
| 1922114834 | Marcos Thomas Doxanas | Ophthalmology | 6231 N Charles St, Baltimore, MD 21212-1113 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786104 | Samir Jabbour | Ophthalmology | 600 North Wolfe Street, Johns Hopkins Hospital Wilmer E, Baltimore, MD 21287 | 2019-02-14 |
| 1609238443 | Kelley Bohm | Ophthalmology | 600 N Wolfe St Fl Cornea, Baltimore, MD 21287-0005 | 2016-03-22 |
| 1639597347 | Heather Mcdonagh Tamez | Ophthalmology | 6115 Falls Rd Ste 300, Baltimore, MD 21209-2219 | 2014-03-31 |
| 1588009765 | Thomas Vincent Johnson IIi | Ophthalmology | Wilmer Eye Institute, Johns Hopkins Hospital, 600 North Wolfe Street, Wilmer B-29, Baltimore, MD 21287-0001 | 2013-05-01 |
| 1033471099 | Brinda Muthusamy | Ophthalmology | The Wilmer Eye Institute Johns, 600 North Wolfe Street, Baltimore, MD 21287-0001 | 2012-06-14 |
| 1225398241 | Katherine Fallano | Ophthalmology | 6565 N Charles St Ste 302, Baltimore, MD 21204-5804 | 2012-05-23 |
| 1275899585 | Rowen Ophthalmology PC | Ophthalmology | 301 St.paul Place, Suite 514, Baltimore, MD 21202 | 2012-04-11 |
| 1831455153 | Tin Yan Alvin Liu | Ophthalmology | 600 N Wolfe St Rm 205, Baltimore, MD 21287-0005 | 2012-04-11 |
| 1760776629 | Katelyn Elizabeth Earls | Ophthalmology | 600 N Wolfe Street Maumenee 327, The Johns Hopkins Hospital, Wilmer Institute, Baltimore, MD 21287-9238 | 2011-06-07 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 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.