DR. JAROSLAW JAKUB JEDRYCH (NPI# 1811124548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811124548 |
| Entity Type | Individual |
| Full Name | DR. JAROSLAW JAKUB JEDRYCH |
| Credential | M.D. |
| Practice Address |
1800 Orleans St Baltimore MD 21287-0010 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4109555933 |
| Practice Fax Number | 4109552445 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
D88004 | MD | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD446749 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD446749 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1800 ORLEANS ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337820 | Esther Ocampo Ousborne | Specialist | 1800 Orleans St, Baltimore, MD 21287 | 2005-06-28 |
| 1174123970 | Mary Catherine Heflin | Registered Nurse | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-30 |
| 1982203766 | Kemisola Ayiloge | Social Worker | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-22 |
| 1356949960 | Lisa Klein | Clinical Nurse Specialist | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-15 |
| 1306444534 | Margaret Marcelli | Social Worker | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-09 |
| 1992302095 | Olivia Ruth Leasher | Physician Assistant | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-02 |
| 1255946489 | Ashleigh N. Boidock | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-14 |
| 1285249599 | Carmen Nina Molinaro | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-14 |
| 1477168961 | Alexandra Istl | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-10 |
| 1942814660 | Cindy Hwang | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| Find all providers in zip 21287 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679768600 | Jere Bart Stern | Pathology | 1319 Park Ave, Baltimore, MD 21217 | 2007-09-12 |
| 1689766461 | Weimin R. Zhu | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-29 |
| 1881794014 | Thomas Enelow | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-25 |
| 1093814394 | Arash Radfar | Pathology | 419 W Redwood St, Suite 240, Baltimore, MD 21201-1734 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568756542 | Jason F Solus | Pathology | 1730 Elton Rd Ste 11, Silver Spring, MD 20903 | 2011-06-07 |
| 1770717910 | Khc Group PC | Pathology | 406 Charles St Ste 200, La Plata, MD 20646-3526 | 2009-05-02 |
| 1982893046 | Chyi-chia Richard Lee | Pathology | 119 Autumn Wind Way, Capitol Dermatopatholoy, L.L.C., Rockville, MD 20850-2872 | 2007-10-15 |
| 1164504122 | Linglei Ma | Pathology | 810 Landmark Dr Ste 217, Glen Burnie, MD 21061 | 2006-10-19 |
| 1437179769 | Onco Diagnostic Services Inc | Pathology | 10401 Old Georgetown Road, Suite 206, Bethesda, MD 20814 | 2006-07-20 |
| 1700822137 | David Allan Stout | Pathology | 723 Goldsborough Street, Easton, MD 21601-7356 | 2006-06-22 |
| 1073574729 | Maria-magdalena Tomaszewski | Pathology | 8403 Colesville Rd Ste 1600, Silver Spring, MD 20910-6345 | 2006-03-31 |
| 1093042996 | Theresa T. Sherrod | Pathology | 8561 Fenton St, Suite 250, Silver Spring, MD 20910-4455 | 2009-11-13 |
| 1487737474 | Kimberly Heyer Cuesta | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-10-23 |
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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.