GORDON TOMASELLI (NPI# 1811924913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811924913 |
| Entity Type | Individual |
| Full Name | GORDON TOMASELLI |
| Credential | M.D. |
| Practice Address |
600 N Wolfe St Baltimore MD 21287-0005 |
| Mailing Address |
Po Box 64250 Baltimore MD 21264-4250 |
| Practice Telephone | 4109553116 |
| Mailing Telephone | 4105020550 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D35256 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
D35256 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 209831800 | 05 |
| Street Address |
600 N WOLFE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354821 | Earl Randy Craven | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-05-31 |
| 1487255279 | Elizabeth Dejaeghere | Physician Assistant | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-06 |
| 1386245751 | Johns Hopkins University | Psychiatry & Neurology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-03 |
| 1770182560 | Abdulrahman Mohammed Gomaa Abodarahim | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-22 |
| 1760081079 | Jose Daniel Llaque Salazar | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-19 |
| 1891302402 | Everardo Hernandez Quintela | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-09-28 |
| 1891307997 | Abby Holland Keen | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-19 |
| 1184235004 | Molly Ruhl | Physician Assistant | 600 N Wolfe St, Halsted 600, Baltimore, MD 21287-2128 | 2020-08-13 |
| 1083224596 | Johns Hopkins University | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-10 | |
| 1265041032 | Carlos Fairen Oro | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-07-28 |
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| 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 |
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| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1487118048 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-01-29 |
| 1952736886 | Lifebridge Community Physicians Inc | Internal Medicine | 2411 W Belvedere Ave, Suite 401, Baltimore, MD 21215-5228 | 2013-09-11 |
| 1649553942 | Arrhythmia Associates of Maryland | Internal Medicine | 2000 W Baltimore St, 2nd Floor, Baltimore, MD 21223-1558 | 2011-09-22 |
| 1891006300 | Aditya Saini | Internal Medicine | 3333 N Calvert St, Baltimore, MD 21218 | 2010-06-30 |
| 1609058890 | Alejandro Jimenez Restrepo | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-11-29 |
| 1801891080 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710174172 | Prakash Goutham Beleyur Suryanarayana | Internal Medicine | 106 Milford St Ste 605, Salisbury, MD 21804-6938 | 2007-10-01 |
| 1518902212 | Bulent R Zaim | Internal Medicine | 1204 West St, Annapolis, MD 21401-3610 | 2006-06-17 |
| 1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
| 1295168789 | Baltimore Arrhythmia Consultants Pa | Internal Medicine | 600 Reisterstown Rd, Suite 301, Pikesville, MD 21208-5104 | 2013-08-20 |
| 1174815807 | Lifebridge Community Physicians, Inc | Internal Medicine | 1838 Greene Tree Rd, Suite 535, Pikesville, MD 21208-6391 | 2011-05-13 |
| 1518269554 | Chesapeake Cardiovascular Specialists PC | Internal Medicine | 128 Lubrano Dr, Suite 201, Annapolis, MD 21401-7028 | 2010-11-24 |
| 1669774808 | Heart Rhythm Specialists | Internal Medicine | 7501 Surratts Rd, 208a, Clinton, MD 20735-3362 | 2010-11-19 |
| 1609195320 | Johns Hopkins Regional Physicians LLC | Internal Medicine | 10710 Charter Dr, Ste 400, Columbia, MD 21044 | 2010-05-20 |
| 1891979001 | Minesh Ranchhodbhai Patel | Internal Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2007-12-24 |
| 1104961788 | Brett D. Roberts | Internal Medicine | 7601 Osler Dr, Towson, MD 21204-7700 | 2007-02-21 |
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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.