ELISE BUCKWALTER (NPI# 1699281576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699281576 |
Entity Type | Individual |
Full Name | ELISE BUCKWALTER |
Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
Mailing Address |
6 Colts Meadow Run Downingtown PA 19335-1886 |
Practice Telephone | 4848881311 |
Mailing Telephone | 4848881311 |
Enumeration Date | 2017-12-14 |
Last Update Date | 2017-12-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
R230796 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
22 S GREENE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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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 | 363LP0222X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982190567 | Consuela Scott Thompson | Nurse Practitioner | 1800 Orleans St Rm 2201, Baltimore, MD 21287-0010 | 2018-07-06 |
1285051896 | Elena Bertolino | Nurse Practitioner | 1800 Orleans St Ste 6320, Baltimore, MD 21287-4904 | 2014-03-20 |
1447672308 | Traci Elizabeth Antes | Nurse Practitioner | 1800 New Orleans St, Suite 6302, Baltimore, MD 21287-4904 | 2014-01-13 |
1417022294 | Ann Marie Felauer | Nurse Practitioner | 655 W Lombard Street, Suite 575c, Baltimore, MD 21201-4837 | 2006-11-21 |
1316418908 | Patricia Dix | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2018-12-08 |
1427536267 | Sarah Keaney | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1590 | 2018-08-03 |
1265969141 | Christina Bradley Graham | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2017-05-22 |
1891235214 | Lauren Booth | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2017-03-03 |
1023477387 | Kerith E Hiatt | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-02-15 |
1396114120 | Sarah Elizabeth Russo | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2015-09-23 |
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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.