TELLERMAN & ASSOCIATES, LLC (NPI# 1659903920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659903920 |
| Entity Type | Organization |
| Organization Name | TELLERMAN & ASSOCIATES, LLC |
| Practice Address |
711 W 40th St Ste 438 Baltimore MD 21211-2199 |
| Practice Telephone | 4102438632 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | KENNETH TELLERMAN (OWNER) |
| Authorized Official Telephone | 4102438632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
711 W 40TH ST STE 438 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043604044 | Amanda M Thompson | Pediatrics | 711 W 40th St Ste 438, Baltimore, MD 21211-2199 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346582244 | Katherine Maureen Carlin | Pediatrics | Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 | 2013-03-19 |
| 1528198652 | Cheryl Lynn Parks | Pediatrics | 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 | 2007-03-07 |
| 1205984796 | Michael L Zollicoffer | Pediatrics | 3502 W Rogers Ave Ste 8, Baltimore, MD 21215-4749 | 2007-01-08 |
| 1952465676 | Alain Joffe | Pediatrics | 3400 N. Charles Street, Johns Hopkins U. Student Health Center, Baltimore, MD 21218-2682 | 2006-12-20 |
| 1710954326 | Kathleen A. Awalt | Pediatrics | 8600 Lasalle Rd, Potomac Building Suite 105, Baltimore, MD 21286-2001 | 2006-03-02 |
| 1841281706 | Carol Ivy Reynolds-freeman | Pediatrics | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2005-10-31 |
| 1689131575 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-02-27 |
| 1366707192 | Steven E. Caplan, M.d. P.a. | Pediatrics | 2411 W Belvedere Ave, Suite 508, Baltimore, MD 21215-5228 | 2012-07-09 |
| 1568603397 | Robert William Blum | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2009-03-06 |
| 1003077645 | Hilary Tamara Wolf | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2008-06-17 |
| 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.