MARYLAND PULMONARY & CRITICAL CARE GROUP, P.A. (NPI# 1679507297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679507297 |
| Entity Type | Organization |
| Organization Name | MARYLAND PULMONARY & CRITICAL CARE GROUP, P.A. |
| Practice Address |
1600 Crain Hwy S Suite 308 Glen Burnie MD 21061-5577 |
| Mailing Address |
10845 Philadelphia Rd White Marsh MD 21162-1717 |
| Practice Telephone | 4107605510 |
| Practice Fax Number | 4107605925 |
| Mailing Telephone | 4103350008 |
| Mailing Fax Number | 4103351133 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | KAMAL BATCHA (PRESIDENT) |
| Authorized Official Telephone | 4103350008 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST | 3340 | 01 |
| MD | CAREFIRST | KA95MA | 01 |
| MD | 462971000 | 05 | |
| GA | RAILROAD MEDICARE | CE8614 | 01 |
| Street Address |
1600 CRAIN HWY S SUITE 308 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721753 | Michael John Daly | Pain Medicine | 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 | 2005-06-28 |
| 1144884909 | Aisha Zareen | Physical Therapist | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2019-04-26 |
| 1184196024 | Courtney Keegan Perkins | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-12-17 |
| 1003383779 | Sanchez Brown | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-10-30 |
| 1306357595 | Kia Ahmed | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2017-10-16 |
| 1326571415 | Kimberly Layton Rice | Nurse Practitioner | 1600 Crain Hwy S, Suite 201, Glen Burnie, MD 21061-5577 | 2017-04-06 |
| 1871044834 | Megan Fredricks Cocco | Counselor | 1600 Crain Hwy S, Suite 503, Glen Burnie, MD 21061-5577 | 2016-10-14 |
| 1275083461 | All Star Pain Management and Regenerative Medicine, LLC | Physical Medicine & Rehabilitation | 1600 Crain Hwy S, Suite 206, Glen Burnie, MD 21061-5577 | 2016-10-11 |
| 1528517307 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 1600 Crain Hwy S, 302, Glen Burnie, MD 21061-5577 | 2016-09-22 |
| 1194270959 | Ashley Nicole Fogarty | Physical Therapist | 1600 Crain Hwy S, Suite 302, Glen Burnie, MD 21061-5577 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1952575003 | Jason Jeffrey Heavner | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061 | 2008-04-19 |
| 1760694624 | Lung Associates of Anne Arundel PC | Internal Medicine | 305 Hospital Dr, Suite 305 Tate Center, Glen Burnie, MD 21061-5805 | 2007-05-04 |
| 1780801092 | Elizabeth Mcilmoyle | Internal Medicine | 305 Hospital Dr, Suite 305, Glen Burnie, MD 21061-5805 | 2007-04-19 |
| 1720092596 | Tisha K Fujii | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2006-07-28 |
| 1790725315 | Vadim Edward Korkhov | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2006-06-08 |
| 1437114451 | Matthew Park | Internal Medicine | 305 Hospital Dr, Suite 305 Tate Center, Glen Burnie, MD 21061-5805 | 2006-04-20 |
| 1720043755 | John Wiley | Internal Medicine | 305 Hospital Dr, Suite 305 Tate Center, Glen Burnie, MD 21061-5805 | 2006-04-20 |
| 1528049152 | Kamal Batcha | Internal Medicine | 1600 Crain Hwy S, Suite 308, Glen Burnie, MD 21061-5577 | 2005-11-10 |
| 1306827936 | Thirumalairaj Jeevan | Internal Medicine | 1600 Crain Hwy S, Suite 308, Glen Burnie, MD 21061-5577 | 2005-11-10 |
| 1255321030 | Guillermo Giangreco | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-10-24 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.