PRICARE MEDICAL CENTER LLC (NPI# 1669983904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669983904 |
| Entity Type | Organization |
| Organization Name | PRICARE MEDICAL CENTER LLC |
| Practice Address |
8113 Harford Rd Ste 100 Baltimore MD 21234-5790 |
| Practice Telephone | 4108824800 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | EVELINE TAKANG (OWNER) |
| Authorized Official Telephone | 2402649698 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 983319600 | 05 |
| Street Address |
8113 HARFORD RD STE 100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21234-5790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1225671936 | Center for Creative Values, Inc | Clinic/Center | 8110 Harford Road Suite B, Parkville, MD 21234 | 2019-10-25 |
| 1598267072 | Beyond This Day Behavioral Health | Counselor | 7231 Harford Rd., Baltimore, MD 21234 | 2018-03-01 |
| 1720587454 | Susan Parvis Cheek | Psychologist | 3501 Taylor Av, Baltimore, MD 21234 | 2018-02-08 |
| 1821507823 | Dionna Marcia Joseph | Counselor | 8646 Hoerner Avenue, Parkville, MD 21234 | 2017-09-22 |
| 1023536323 | Marquita Johnson | Home Health Aide | 2245 Pentland Dr Apt A, Parkville, MD 21234 | 2017-09-07 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1295252278 | Amelia Ruth Anthony | Social Worker | 6802 Mcclean Blvd., Baltimore, MD 21234 | 2017-08-29 |
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| Find all providers in zip 21234 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364192 | Folasade O Onasanya | Nurse Practitioner | 3312 Croydon Rd, Baltimore, MD 21207-4543 | 2020-10-23 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1730654062 | Alaina Lourdes Frey | Nurse Practitioner | 3455 Wilkens Ave # L10, Baltimore, MD 21229-5213 | 2018-10-13 |
| 1336624113 | Optimum Family Clinic | Nurse Practitioner | 6014 Harford Rd, Baltimore, MD 21214-1327 | 2018-09-27 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1073050365 | Marla Brown | Nurse Practitioner | 6821 Reisterstown Rd Ste 106, Baltimore, MD 21215-1434 | 2017-01-24 |
| 1326443086 | Yury Malachevsky | Nurse Practitioner | 2435 W. Belvedere Avenue, Suite 22, Baltimore, MD 21215 | 2014-10-23 |
| 1174954499 | Neighborhood Wellness, LLC | Nurse Practitioner | 2401 Liberty Heights Avenue, Mondawmin Mall, Space 4625, Baltimore, MD 21215-8086 | 2013-12-12 |
| 1811261050 | Ashley Miller Salamone | Nurse Practitioner | 1800 Orleans Street Sheikh Zayed Tower, Suite 7125 F-1, Baltimore, MD 21287-0020 | 2012-03-06 |
| 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.