DR. TRISTAN MICHAEL FLACK (NPI# 1750720074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750720074 |
| Entity Type | Individual |
| Full Name | DR. TRISTAN MICHAEL FLACK |
| Credential | D.O. |
| Practice Address |
6701 N Charles St Baltimore MD 21204 |
| Mailing Address |
6565 N Charles St Ste 201 Baltimore MD 21204-5805 |
| Practice Telephone | 4438492682 |
| Mailing Telephone | 4438492682 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 284245 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
6701 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114699 | Douglas Edward Kircher | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2005-06-20 |
| 1083180327 | Louise Potter Hanssen | Nurse Practitioner | 6701 N Charles St, Baltimore, MD 21204-6808 | 2018-10-14 |
| 1568945806 | Rita Mallouh | Surgery | 6701 N Charles St, Baltimore, MD 21204-6881 | 2018-09-12 |
| 1609361880 | Margaret Craun | Occupational Therapist | 6701 N Charles St, Baltimore, MD 21204 | 2018-06-29 |
| 1639687163 | Omolara Olasimbo | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2018-01-18 |
| 1235640509 | Marissa Ann Kennell | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-10-13 |
| 1760907497 | Carine Marie Cattier | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-08-03 |
| 1134656408 | Sherrie Onte Oladapo | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-05-17 |
| 1902343825 | Kathryn Woods | Registered Nurse | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-01-30 |
| 1306382973 | Anne Parks | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1184272296 | Federal Hill Pediatric Center | Internal Medicine | 724 Light St Ste A, Baltimore, MD 21230-3813 | 2019-09-02 |
| 1861051096 | Intermed Associates Ipa, LLC | Internal Medicine | 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 | 2019-06-11 |
| 1720540925 | Johns Hopkins Community Physicians | Internal Medicine | 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 | 2019-04-05 |
| 1013488188 | Atlantic Medical Associates, LLC | Internal Medicine | 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 | 2018-12-16 |
| 1700386109 | Burke Medical, P.C. | Internal Medicine | 8 Market Pl Ste 300, Baltimore, MD 21202-4113 | 2018-02-13 |
| 1538695598 | Hisham Ahmed Farhan | Internal Medicine | 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 | 2017-05-11 |
| 1538692652 | Thi Khuc | Internal Medicine | 22 S Greene St # N3w156, Baltimore, MD 21201-1544 | 2017-04-05 |
| 1053868646 | Apurva Sharma | Internal Medicine | 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 | 2016-09-01 |
| 1053761031 | Seyed Mohammad Hodanazari | Internal Medicine | 727 W 40th St # A215, Baltimore, MD 21211-2105 | 2016-06-21 |
| 1568824522 | Alaina Christine Chodoff | Internal Medicine | 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 | 2016-03-28 |
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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.