JULIA T BONACUM (NPI# 1568403871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568403871 |
| Entity Type | Individual |
| Full Name | JULIA T BONACUM |
| Credential | MD |
| Practice Address |
301 Saint Paul Pl 11th Floor Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 64075 Baltimore MD 21264-4075 |
| Practice Telephone | 4103329573 |
| Practice Fax Number | 4102385598 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D0050236 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 024700600 | 05 | |
| MD | BC / BS OF MD | KX 46 ST / 547804-04 | 01 |
| MD | BLUECHOICE | S185 / 0001 | 01 |
| Street Address |
301 SAINT PAUL PL 11TH FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980305 | Debra A Vachon | Colon & Rectal Surgery | 301 Saint Paul Pl, Ste 400, Baltimore, MD 21202-2102 | 2005-05-27 |
| 1861046567 | Rebecca Whitlock Grochowski | Nurse Practitioner | 301 Saint Paul Pl, Dept of Med, Baltimore, MD 21202-2165 | 2019-07-31 |
| 1891348660 | Sarah Olsen Gallo | Nurse Practitioner | 301 Saint Paul Pl, Baltimore, MD 21202-2165 | 2019-07-22 |
| 1124423090 | Janene Michelle Levy | Nurse Practitioner | 301 Saint Paul Pl, Suite 509, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1790180669 | Lucy King | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1235534645 | Nicole Bonanni | Physician Assistant | 301 Saint Paul Pl, The Orthopedic Specialty Hospital, Baltimore, MD 21202-2102 | 2014-10-28 |
| 1952705352 | Amanda Boyer | Physician Assistant | 301 Saint Paul Pl, Er Dept., Baltimore, MD 21202-2102 | 2014-10-14 |
| 1083014922 | Matthew Charles Perry | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-08-28 |
| 1396153946 | Christopher Mathews | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-28 |
| 1891102067 | Ryan Thomas Carter | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-18 |
| Find all providers in the same location | ||||
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
| 1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
| 1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
| 1598031429 | Janhavi Athale | Internal Medicine | 600 N Wolfe Street Baltimore, Baltimore, MD 21287-0001 | 2012-03-26 |
| 1679865216 | Jasvinder Singh | Internal Medicine | 9103 Franklin Square Dr Ste 300, Baltimore, MD 21237-3939 | 2011-05-13 |
| 1538450952 | Zaid A Shakir | Internal Medicine | 201 E University Pkwy Dept Of, Baltimore, MD 21218 | 2011-04-20 |
| 1316188428 | Eli B Alegado M.d. PC | Internal Medicine | 4115 Ritchie Hwy, Baltimore, MD 21225-2758 | 2009-03-19 |
| 1427077650 | Grace W Pien | Internal Medicine | 5501 Hopkins Bayview Cir Fl 5, Baltimore, MD 21224-6821 | 2006-07-19 |
| 1689654824 | Saiyad Aleem Sarkar | Internal Medicine | 9103 Franklin Square Blvd., Suite 300, Baltimore, MD 21237-3939 | 2006-01-21 |
| 1194714329 | Steven Jon Schwartz | Internal Medicine | Johns Hopkins University, 600 N. Wolfe Street Meyer 297a, Baltimore, MD 21287-0001 | 2005-10-20 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on JULIA T BONACUM.
| 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.