MICHELLE DIANA MON (NPI# 1639148703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639148703 |
| Entity Type | Individual |
| Full Name | MICHELLE DIANA MON |
| Other Name | MICHELLE DIANA ELMAN |
| Credential | MD |
| Practice Address |
3407 Wilkens Ave Ste 410 Baltimore MD 21229 |
| Mailing Address |
3407 Wilkens Ave Ste 410 Baltimore MD 21229-5074 |
| Practice Telephone | 4435748500 |
| Mailing Telephone | 4435748500 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D85603 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301109336 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME93526 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE GROUP | CE7138 | 01 |
| FL | 276170000 | 05 | |
| FL | CIGNA PROVIDER # | 1724199 | 01 |
| FL | BCBS PROVIDER # | 53238 | 01 |
| FL | AETNA PROVIDER # | 7453614 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14650 E Old Us Highway 12, Suite 303, Chelsea, MI 481181801 | 7344754177 | 7344753520 |
| 3407 Wilkens Ave Ste 410, Baltimore, MD 21229 | 4435748500 |
| Street Address |
3407 WILKENS AVE STE 410 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435465 | Maryam Jaberi | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229-5074 | 2005-05-23 |
| 1164791927 | Jamaal H Shaban | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229 | 2011-12-23 |
| 1174850952 | Irina Bernescu | Colon & Rectal Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229 | 2009-11-16 |
| 1982870101 | Steven Clark Cunningham | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229-5074 | 2008-05-07 |
| 1588854137 | Thomas J Kang | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229-5074 | 2007-07-30 |
| 1174731905 | Shirali Thakor Patel | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229-5074 | 2007-05-17 |
| 1073737615 | Ahmad Waqas Ahad | Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229 | 2007-04-13 |
| 1023016672 | Justin Colin Somerville | Colon & Rectal Surgery | 3407 Wilkens Ave Ste 410, Baltimore, MD 21229-5074 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| 1477895266 | Anna Liveris | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201 | 2013-03-20 |
| 1538411657 | Sidney S. Mir | Surgery | 7905 Ellenham Ave, Baltimore, MD 21204-3523 | 2012-10-12 |
| 1285980854 | Noeline Rajarajan I | Surgery | 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 | 2012-08-01 |
| 1043565401 | Ouseph Janso Padickakudi | Surgery | 600 N. Wolfe Street, 655 Blalock, Johns Hopkins Hospital, Department of Surgery, Baltimore, MD 21287 | 2012-07-20 |
| 1770844888 | Mohammed Asif | Surgery | 4940 Eastern Ave # P34-13, Baltimore, MD 21224 | 2012-06-05 |
| 1285994020 | William Robert Leeper | Surgery | 1800 Orleans Street, Sheik Zayed Tower, Suite 6107, Baltimore, MD 21287 | 2012-05-28 |
| 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.