BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC. (NPI# 1710071725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710071725 |
| Entity Type | Organization |
| Organization Name | BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC. |
| Other Organization Name | THE AIELLO BREAST CENTER |
| Practice Address |
203 Hospital Dr Suite B100 Glen Burnie MD 21061-6904 |
| Practice Telephone | 4105538351 |
| Practice Fax Number | 4105538352 |
| Mailing Telephone | 4105538351 |
| Mailing Fax Number | 4105538352 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | CHARLENE ANN MAYO (PRACTICE MANAGER) |
| Authorized Official Telephone | 4105538353 |
| Is Organization Subpart | Y |
| Parent Organization Name | BALTIMORE WASHINGTON MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 406923400 | 05 | |
| MD | AETNA HMO PROVIDER NUMBER | 3767375 | 01 |
| MD | CAREFIRST BCBS OF MD PROV | 645177-01 | 01 |
| MH | CAREFIRST BCBS OF DC PROV | J6860006 | 01 |
| MD | MAMSI PROVIDER NUMBER | 2131125 | 01 |
| MD | UNITED HEALTHCARE PROVIDE | 1622878 | 01 |
| MD | JOHN HOPKINS HEALTH CARE | 33525 | 01 |
| MD | PRIVATE HEALTHCARE SYSTEM | 9002247 | 01 |
| MD | MEDICARE RAILROAD | DD8312 | 01 |
| MD | CIGNA PROVIDER NUMBER | 1303080 | 01 |
| MH | AETNA PPO PROVIDER NUMBER | 5353197 | 01 |
| MD | NCPPO PROVIDER NUMBER | 704197 | 01 |
| Other Name | Type Code |
|---|---|
| THE AIELLO BREAST CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306164025 | Baltimore Washington Professional Services Inc. | Obstetrics & Gynecology | 7556 Teague Rd, Suite 430, Hanover, MD 21076-1200 | 2010-05-05 |
| 1275855702 | Baltimore Washington Professional Services Inc. | Surgery | 301 Hospital Dr, First Floor, Glen Burnie, MD 21061-5803 | 2010-02-25 |
| 1821277856 | Baltimore Washington Professional Services Inc. | Obstetrics & Gynecology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2007-10-26 |
| 1851318943 | Baltimore Washington Professional Services Inc. | Family Medicine | 8601 Veterans Hwy, 204, Millersville, MD 21108-1547 | 2006-07-16 |
| Street Address |
203 HOSPITAL DR SUITE B100 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804917 | Jeffrey Thomas Pacheco | Specialist | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2005-07-13 |
| 1881162444 | Diana Lee Schrieber | Nurse Practitioner | 203 Hospital Dr, Glen Burnie, MD 21061-6904 | 2018-11-12 |
| 1861912149 | Michelle Woodworth | Hearing Instrument Specialist | 203 Hospital Dr, Glen Burnie, MD 21061-6904 | 2017-06-27 |
| 1902258817 | Tessa Ariel Merrill | Audiologist | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061 | 2016-07-05 |
| 1609260298 | Mary Kuttler | Dietitian, Registered | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2015-03-23 |
| 1588088199 | Rita Irene Murphy | Audiologist | 203 Hospital Dr, Ste 200, Glen Burnie, MD 21061-6905 | 2014-02-18 |
| 1215261490 | Cara Mahoney | Audiologist | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2009-09-22 |
| 1821322025 | Elizabeth Bevilacqua | Audiologist | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2009-09-22 |
| 1104052356 | Alice E Chang | Otolaryngology | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2009-06-02 |
| 1649429549 | Neda Ahmadi | Otolaryngology | 203 Hospital Dr, Suite 200, Glen Burnie, MD 21061-6904 | 2008-09-16 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669563912 | Paul Martin Rosoff | Surgery | 7575 Ritchie Highway, Glen Burnie, MD 21061-8951 | 2006-09-28 |
| 1265452064 | Anthony J Raneri | Surgery | Baltimore Washington Medical Center, 301 Hospital Drive; Wound Healing Center, Glen Burnie, MD 21061-5803 | 2006-07-21 |
| 1356367445 | Geoffrey Harold Saunders, P.a. | Surgery | 203 Hospital Drive, Suite 304, Glen Burnie, MD 21061 | 2006-07-14 |
| 1861467110 | M. Cornelious Musara | Surgery | 7671 Quarterfield Road, Suite 302, Glen Burnie, MD 21060 | 2006-02-21 |
| 1962930529 | Anthony J Raneri Md LLC | Surgery | Baltimore Washington Medical Center, 301 Hospital Drive; Wound Healing Center, Glen Burnie, MD 21061-5803 | 2017-05-26 |
| 1568994820 | Axiom Surgical LLC | Surgery | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2017-03-28 |
| 1619246659 | Antares Medical LLC | Surgery | 7671 Quarterfield Road, Suite 302, Glen Burnie, MD 21061 | 2011-12-20 |
| 1598080947 | Justin K Nelms | Surgery | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2010-03-29 |
| 1649408386 | Marie Claire Ziesat | Surgery | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2009-07-01 |
| 1063692218 | Alok K Gupta | Surgery | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2007-11-05 |
| 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.