THOMAS L EDMONDSON (NPI# 1659340230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659340230 |
| Entity Type | Individual |
| Full Name | THOMAS L EDMONDSON |
| Credential | M.D. |
| Practice Address |
1040 Park Ave Ste 200 Baltimore MD 21201-5634 |
| Mailing Address |
2140 Peachtree Rd Nw Ste 232 Atlanta GA 30309-1316 |
| Practice Telephone | 4437380300 |
| Mailing Telephone | 4042314431 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
D0045766 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1040 Park Ave Ste 200, Baltimore, MD 212015634 | 4437380300 |
| Street Address |
1040 PARK AVE STE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577762 | Absolutecare of Baltimore, LLC | Family Medicine | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2020-01-13 |
| 1558889253 | Joshua Liu | Physician Assistant | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-09-01 |
| 1275050759 | Nimita Sharma | Pharmacist | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-25 |
| 1851817431 | Baltimore Medical System Inc | Clinic/Center | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-16 |
| 1710426069 | Katherine Pretl | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-20 |
| 1619415502 | Ella Histand | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-10 |
| 1295197176 | Elizabeth Brolund | Social Worker | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2016-03-22 |
| 1528431020 | Mary Kathleen Haber | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-11-05 |
| 1386022721 | Kelli Mccallum | Nurse Practitioner | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-05-18 |
| 1053799635 | Anisha Hampton | Nurse Practitioner | 1040 Park Ave Ste 200, Baltimore, MD 21201 | 2015-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1609141795 | Mattan Schuchman | Internal Medicine | 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 | 2012-03-21 |
| 1205066628 | Bernard Fred Kozlovsky | Internal Medicine | 3301 Lee Ct, Baltimore, MD 21208-4402 | 2009-07-20 |
| 1508096926 | Royal Care Medical Center Inc | Internal Medicine | 211 E Lombard St, Suite 259, Baltimore, MD 21202-6102 | 2009-07-20 |
| 1306923818 | Carla W Rosenthal | Internal Medicine | 3414 St Paul Street, Baltimore, MD 21218 | 2006-11-01 |
| 1477658813 | Xiangrong Shao | Internal Medicine | 3900 Loch Raven Blvd., Brecc, Baltimore, MD 21218 | 2006-09-13 |
| 1285672527 | Paul Schwartz | Internal Medicine | 3512 Newland Rd, Baltimore, MD 21218-2512 | 2006-06-02 |
| 1730143314 | Leslie I Katzel | Internal Medicine | Baltimore Va Medical Center, 10 North Greene Street, Baltimore, MD 21201 | 2006-04-12 |
| 1801864350 | Brian Wallace | Internal Medicine | 9005 Kilbride Rd, Baltimore, MD 21236-2017 | 2006-03-10 |
| 1104816172 | Johns Hopkins University | Internal Medicine | 600 N. Wolfe Street, Baltimore, MD 21264-0001 | 2005-10-21 |
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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.