REDICLINIC OF MD, LLC (NPI# 1639572761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639572761 |
| Entity Type | Organization |
| Organization Name | REDICLINIC OF MD, LLC |
| Practice Address |
1400 Sulphur Spring Rd Baltimore MD 21227-2701 |
| Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
| Practice Telephone | 7133351754 |
| Mailing Telephone | 7133351754 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7135809489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245633221 | Rediclinic of Md, LLC | Clinic/Center | 101 Reisterstown Rd., Pikesville, MD 21208-6102 | 2014-10-03 |
| 1659774644 | Rediclinic of Md, LLC | Clinic/Center | 6130 Baltimore Avenue, Riverdale, MD 20737-1905 | 2014-10-03 |
| 1730582867 | Rediclinic of Md, LLC | Clinic/Center | 11917-19 Reisterstown Rd., Reisterstown, MD 21136-3030 | 2014-10-03 |
| 1750731873 | Rediclinic of Md, LLC | Clinic/Center | 8701 Georgia Ave, Suite 100, Silver Spring, MD 20910-3713 | 2016-06-20 |
| 1942650395 | Rediclinic of Md, LLC | Clinic/Center | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2016-06-16 |
| 1053789768 | Rediclinic of Md, LLC | Clinic/Center | 250 Englar Road, Ste. 22, Westminster, MD 21157-2927 | 2015-09-11 |
| 1528447539 | Rediclinic of Md, LLC | Clinic/Center | 25 Jones Station Rd W, Severna Park, MD 21146-4200 | 2015-05-22 |
| 1841677465 | Rediclinic of Md, LLC | Clinic/Center | 5 Bel Air South Parkway, Ste. 1347, Bel Air, MD 21015-3809 | 2015-05-04 |
| 1356728984 | Rediclinic of Md, LLC | Clinic/Center | 8601 Baltimore National Pike, Ellicott City, MD 21043-4176 | 2015-05-04 |
| 1962805762 | Rediclinic of Md, LLC | Clinic/Center | 9810 Apollo Dr, Largo, MD 20774-4824 | 2014-10-07 |
| Street Address |
1400 SULPHUR SPRING RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639357601 | Flavea Pallikal | Pharmacist | 1400 Sulphur Spring Rd, Baltimore, MD 21227-2701 | 2008-02-01 |
| 1881118701 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1400 Sulphur Spring Rd, Baltimore, MD 21227-2701 | 2017-08-02 |
| 1053785477 | Louise Stevens | Registered Nurse | 1400 Sulphur Spring Rd, Baltimore, MD 21227-2701 | 2015-11-23 |
| 1821494964 | Cynthia Sterling-harley | Nurse Practitioner | 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2014-11-18 |
| 1275971087 | Savannah Christopher | Pharmacist | 1400 Sulphur Spring Rd, Baltimore, MD 21227-2701 | 2013-06-13 |
| 1821388513 | Susan Tong Epie | Pharmacist | 1400 Sulphur Spring Rd, Baltimore, MD 21227-2701 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357919 | Family Orthodontics of Maryland LLC | Clinic/Center | 2 Hamill Rd Ste 215, Baltimore, MD 21210-1886 | 2019-06-29 |
| 1366008179 | Baltimore Acupuncture LLC | Clinic/Center | 1501 Sulgrave Ave Ste 310, Baltimore, MD 21209-3654 | 2019-05-16 |
| 1053875815 | Anova Infusion | Clinic/Center | 111 S Calvert St Ste 2700, Baltimore, MD 21202-6143 | 2019-01-25 |
| 1891262135 | Emerge Baltimore Inc. | Clinic/Center | 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 | 2018-10-24 |
| 1992271902 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 | 2018-10-17 |
| 1831671684 | Farrell & Associates | Clinic/Center | 4201 Harcourt Rd, Baltimore, MD 21214-3409 | 2018-08-29 |
| 1023502838 | Pikesville Pediatrics, LLC | Clinic/Center | 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 | 2018-06-15 |
| 1740798412 | Victory Medical Center | Clinic/Center | 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 | 2018-01-17 |
| 1730612235 | Concerted Care Group Brooklyn | Clinic/Center | 112 E Patapsco Ave, Baltimore, MD 21225-1745 | 2017-04-11 |
| 1659538437 | Powell Recovery Institute | Clinic/Center | 16 S Broadway, Baltimore, MD 21231-1712 | 2008-05-20 |
| 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.