ST PAUL PLACE SPECIALISTS, INC. (NPI# 1780630004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780630004 |
| Entity Type | Organization |
| Organization Name | ST PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
301 St. Paul Place Heart Center - Burk Bldg 310 Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 824173 Philadelphia MD 19182-4173 |
| Practice Telephone | 4103329752 |
| Practice Fax Number | 4103320626 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | ROBERT A EDWARDS (SR, VP) |
| Authorized Official Telephone | 4106592802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195532 | St Paul Place Specialists, Inc. | Obstetrics & Gynecology | 1777 Reisterstown Rd, Ste 210, Pikesville, MD 21208-1306 | 2007-05-18 |
| 1679618359 | St Paul Place Specialists, Inc. | Pathology | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2007-02-21 |
| 1497821839 | St Paul Place Specialists, Inc. | Dermatology | 301 St Paul Place, Baltimore, MD 21202 | 2006-11-28 |
| 1851405187 | St Paul Place Specialists, Inc. | Optometrist | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-17 |
| 1639189863 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-09 |
| 1154362473 | St Paul Place Specialists, Inc. | Neuromusculoskeletal Medicine & OMM | 301 Saint Paul Pl, #402 - Neurology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1497796775 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Pob 411, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1174564736 | St Paul Place Specialists, Inc. | Internal Medicine | 227 Saint Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-06-08 |
| 1497707681 | St Paul Place Specialists, Inc. | Emergency Medicine | 301 St. Paul Place, Baltimore, MD 21202-2102 | 2006-05-16 |
| Street Address |
301 ST. PAUL PLACE HEART CENTER - BURK BLDG 310 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431526 | Lynn M. Ludmer | Internal Medicine | 301 St. Paul Place, #411, Baltimore, MD 21202-2102 | 2006-03-14 |
| 1972067627 | Lacey Aghazarian | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202-2102 | 2019-01-28 |
| 1396215463 | Michelle D. Detwiler | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202 | 2018-11-30 |
| 1033687363 | Nicole Parrau | Nurse Practitioner | 301 St. Paul Place, # 402, Baltimore, MD 21202-2102 | 2018-11-05 |
| 1942777156 | Lauren Nicole Wood | Physician Assistant | 301 St. Paul Place, Lower Level, Baltimore, MD 21202 | 2018-10-25 |
| 1205317310 | Caroline Kramer | Physician Assistant | 301 St. Paul Place, Lower Level, Baltimore, MD 21202 | 2018-08-27 |
| 1447762992 | Shira Levihim | Physician Assistant | 301 St. Paul Place, Pob # 718, Baltimore, MD 21202 | 2017-10-24 |
| 1760992713 | Adam B. Sherman | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202 | 2017-10-04 |
| 1316487820 | Melody Esmaili | Nurse Anesthetist, Certified Registered | 301 St. Paul Place, Dept. of Anesthesiology, 17th Floor, Baltimore, MD 21202 | 2017-03-02 |
| 1528510070 | Lauren Walker | Physician Assistant | 301 St. Paul Place, Baltimore, MD 21202 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1407119712 | Yitzhak Rosen | Internal Medicine | Sheikh Zayed - Echo Lab, 1800 Orleans Streeet, 4th Floor, Baltimore, MD 21287-0010 | 2012-06-21 |
| 1013206119 | Thorsten Martin Leucker | Internal Medicine | 4940 Eastern Ave Ste 2400, Baltimore, MD 21224-2735 | 2011-03-30 |
| 1003115387 | Tolulope Adesiyun Agunbiade | Internal Medicine | 3333 N Calvert St Ste Llo8, Baltimore, MD 21218 | 2011-03-25 |
| 1932401544 | Esther Sung Hee Pak | Internal Medicine | 4416 Laplata Ave, Apt A, Baltimore, MD 21211-1135 | 2010-12-02 |
| 1598990780 | Boon Yew Tan | Internal Medicine | 600 N Wolfe Street Carnegie 592, Baltimore, MD 21287-0001 | 2009-05-18 |
| 1548494529 | Mansoor Mozayan | Internal Medicine | 9105 Franklin Square Dr Ste 209, Baltimore, MD 21237-3958 | 2009-05-06 |
| 1083880876 | John Rickard | Internal Medicine | 301 Mason Lord Dr, Baltimore, MD 21224-3057 | 2008-05-01 |
| 1639362247 | Ramanather Sirithara, M.d., P.a. | Internal Medicine | 3001 Hanover St, Suite 334, Baltimore, MD 21225-1233 | 2007-08-27 |
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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.