EDMUND GOODE (NPI# 1710422704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710422704 |
| Entity Type | Individual |
| Full Name | EDMUND GOODE |
| Credential | L.M.T. |
| Practice Address |
4222 Diller Ave Baltimore MD 21206-6308 |
| Practice Telephone | 4108427270 |
| Mailing Telephone | 4108427270 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M03539 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4222 DILLER AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21206-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
| 1962912444 | Meagan Carreira | Occupational Therapy Assistant | 5009 Frankfurt Avenue, Baltimore, MD 21206 | 2017-10-10 |
| 1821511551 | Anu Healthcare Services Inc | Psychiatry & Neurology | 4809 Belair Road, Baltimore, Maryland, MD 21206 | 2017-07-25 |
| 1447704648 | Belair Health Solutions, Inc | Counselor | 4825 Belair Rd., Baltimore, MD 21206 | 2016-08-05 |
| 1053716563 | Paule Kengne | Home Health Aide | 4602 Willshire Ave, Baltimore, MD 21206 | 2014-10-27 |
| 1821408733 | Shana Gee | Technician | 4238 Seidel Ave, Baltimore, MD 21206 | 2014-04-30 |
| 1902236524 | Heidi Ann Smith | Physical Therapist | 3910 Chesley Avenue, Baltimore, MD 21206 | 2013-11-18 |
| 1891138277 | Kenyona N Davis | Social Worker | 5622 Remmell Ave Unit F, Baltimore, MD 21206 | 2013-04-16 |
| 1497095368 | Aderonke Ogunsua | Home Health Aide | 4430 Moravia Rd Apt10, Baltimore, MD 21206 | 2013-02-28 |
| 1902173974 | Jennifer Lea Reed | Social Worker | 5901 Benton Heights Avenue, Baltimore, MD 21206 | 2011-11-19 |
| Find all providers in zip 21206 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| 1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
| 1770190258 | Barbara Bailey | Massage Therapist | 3342 Mondawmin Ave, Baltimore, MD 21216-2319 | 2020-09-28 |
| 1285265892 | Erin Kilduff | Massage Therapist | 1503a Old Eastern Ave, Baltimore, MD 21221-3617 | 2020-02-01 |
| 1568092997 | Michele Renee Solloway | Massage Therapist | 3021 E Baltimore St, Baltimore, MD 21224-1349 | 2020-01-24 |
| 1366000499 | Amanda Carey Everett | Massage Therapist | 1637 Eastern Ave, Baltimore, MD 21231-2333 | 2019-06-04 |
| 1619533718 | Aliya Yasmeen Baskerville | Massage Therapist | 1047 S Charles St, Baltimore, MD 21230-4007 | 2019-05-14 |
| 1356804280 | Bryan Devaughn | Massage Therapist | 1120 N Charles St Ste 400, Baltimore, MD 21201-5594 | 2019-04-08 |
| 1154883544 | Oluwatoyin Amanda Akintilo | Massage Therapist | 3808 Callaway Ave, Apt A, Baltimore, MD 21215-7103 | 2019-04-03 |
| 1346709920 | Lamar Bey Matthews | Massage Therapist | 1120 N Charles St Ste 105-107, Baltimore, MD 21201-5592 | 2019-03-13 |
| 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.