DR. TIFFANY M WEDLAKE (NPI# 1609864628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609864628 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY M WEDLAKE |
| Credential | M.D., MPH |
| Practice Address |
2400 Kirk Ave Baltimore MD 21218-5507 |
| Practice Telephone | 4103838300 |
| Mailing Telephone | 4103838300 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
D0076061 | MD | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
2007-01439 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 056784 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2400 KIRK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801880315 | Total Health Care Inc | Clinic/Center | 2400 Kirk Ave, Baltimore, MD 21218-5507 | 2005-09-12 |
| 1639516388 | George Clifton Carter | Nurse Practitioner | 2400 Kirk Ave, Baltimore, MD 21218-5507 | 2013-06-03 |
| 1629382288 | Nichelle Vanessa Patterson | Counselor | 2400 Kirk Ave, Baltimore, MD 21218-5507 | 2010-08-05 |
| 1386874543 | Nana Nyarko Afriyie-gyimah | Pharmacist | 2400 Kirk Ave, Baltimore, MD 21218-5507 | 2009-07-22 |
| 1487888772 | Total Health Care Inc | Pharmacy | 2400 Kirk Ave, Baltimore, MD 21218-5507 | 2009-05-14 |
| 1376518654 | Jeffrey C Schultz | Family Medicine | 2400 Kirk Ave, Baltimore, MD 21218-5507 | 2006-02-21 |
| 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 | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326585928 | Jesse Polansky | Preventive Medicine | 701 Gilmarys Rd, Baltimore, MD 21210-1416 | 2017-01-21 |
| 1841535275 | Howard Joel Garber | Preventive Medicine | 5233 King Avenue, Suite 400, Baltimore, MD 21237-4001 | 2012-12-12 |
| 1508148347 | Maria J Wawer | Preventive Medicine | 627 N Washington St, 2nd Floor, Baltimore, MD 21205-2220 | 2011-09-19 |
| 1629375340 | Marisela Gomez | Preventive Medicine | 304 Westowne Rd, Baltimore, MD 21229-2230 | 2011-02-15 |
| 1598925075 | Irwin J Lotwin | Preventive Medicine | 2953 Marnat Rd, Apt. D, Baltimore, MD 21209-2427 | 2008-06-10 |
| 1174783534 | Clarence K Lam | Preventive Medicine | 1800 Orleans St., Baltimore, MD 21287 | 2008-06-10 |
| 1093927576 | Patricia A Newton | Preventive Medicine | 1 East Chase Street, Ste 201, Baltimore, MD 21202 | 2007-05-04 |
| 1750400693 | Barbara Ann Mclean | Preventive Medicine | 6401 York Rd - 3rd Floor, Baltimore, MD 21212 | 2007-03-29 |
| 1831637131 | Marsha Guilford Davenport | Preventive Medicine | 200 E 33rd St, Suite 136, Baltimore, MD 21218-3322 | 2017-02-07 |
| 1477893188 | David Blythe | Preventive Medicine | 201 W Preston St, Baltimore, MD 21201-2301 | 2013-02-18 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on DR. TIFFANY M WEDLAKE.
| 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.