MICHAEL PRADA


Address: 301 St. Paul Place, Lower Level, Maryland Spine Center At Mercy, Baltimore, MD 21202
Phone: 4105393434

MICHAEL PRADA (NPI# 1831525997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831525997
Entity Type Individual
Full Name MICHAEL PRADA
Credential PA-C
Practice Address 301 St. Paul Place, Lower Level
Maryland Spine Center At Mercy
Baltimore
MD 21202
Mailing Address 301 St. Paul Place
Medical Staff Office
Baltimore
MD 21202
Practice Telephone 4105393434
Enumeration Date 2013-09-20
Last Update Date 2013-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
C05198 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 301 ST. PAUL PLACE, LOWER LEVEL
MARYLAND SPINE CENTER AT MERCY
City BALTIMORE
State MD
Zip Code 21202

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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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306341540 Sunil Harris Physician Assistant 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 2018-03-29
1134639263 Liz Ramirez Physician Assistant 1101 E 33rd St, Baltimore, MD 21218-3637 2017-10-03
1093231755 Daniel Gentry Physician Assistant 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 2017-08-15
1174051353 Nam Anh Pham Physician Assistant 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 2017-05-31
1528516879 Chesapeake Bay Surgical Assistants Physician Assistant 6814 Chand Ct, Baltimore, MD 21237-3869 2016-09-15
1598172801 Krista D Aghazarian Physician Assistant 227 Saint Paul St Fl 5, Baltimore, MD 21202-2001 2014-07-18
1871862748 Arifa Rabia Sattar Physician Assistant 2900 S Hanover St Ste 105, Baltimore, MD 21225-1232 2011-12-22
1316180128 Stanislav Mihaylov Stanislavov Physician Assistant 601 N Caroline St Fl 5, Baltimore, MD 21287-0006 2009-04-08
1780846402 Annie Wong Kowalis Physician Assistant 2435 W Belvedere Avenue, Suite 42, Baltimore, MD 21215-5224 2008-06-25
1740488816 Noel Bayard Morelli Physician Assistant Johns Hopkins Hospital 601 N Caroline Street, Department of Plastic Surgery 8th Floor, Baltimore, MD 21287-0001 2007-07-10
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Competitor

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City BALTIMORE
Zip Code 21202

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Dataset Information

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.

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