GREATER BALTIMORE MEDICAL CENTER, INC. (NPI# 1861417545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861417545 |
Entity Type | Organization |
Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
Other Organization Name | GBMC, INC.-NEUROLOGY |
Practice Address |
6701 N Charles St Dept of Neurology Baltimore MD 21204-6808 |
Mailing Address |
Po Box 631568 Baltimore MD 21263-1568 |
Practice Telephone | 4438492000 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2008-03-27 |
Authorized Official Name | MR. ERIC MELCHIOR (VICE PRESIDENT & CFO) |
Authorized Official Telephone | 4438492519 |
Is Organization Subpart | Y |
Parent Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST MARYLAND | KJ36GB | 01 |
MD | CAREFIRST REGIONAL | S122 | 01 |
Other Name | Type Code |
---|---|
GBMC, Inc.-Neurology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
1114257144 | Greater Baltimore Medical Center, Inc. | Medical Genetics | 6701 N Charles St Unit 23, Baltimore, MD 21204-6808 | 2010-01-14 |
1164675906 | Greater Baltimore Medical Center, Inc. | Occupational Therapist | 6569 N Charles St Ste 305, Baltimore, MD 21204-5817 | 2008-10-24 |
1760625883 | Greater Baltimore Medical Center, Inc. | Neurological Surgery | 6535 N Charles St Ste 600, Baltimore, MD 21204-5827 | 2009-04-20 |
1194963496 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6535 N Charles St, Ste 125, Baltimore, MD 21204-5826 | 2009-01-26 |
1194973396 | Greater Baltimore Medical Center, Inc. | Audiologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-09-03 |
1568624856 | Greater Baltimore Medical Center, Inc. | Speech-Language Pathologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-06-27 |
1689702227 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-03-02 |
1467589705 | Greater Baltimore Medical Center, Inc. | Family Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-02-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GREATER BALTIMORE MEDICAL CENTER, INC. | 6701 N Charles St, Baltimore, MD 21204-6808 |
Street Address |
6701 N CHARLES ST DEPT OF NEUROLOGY |
City | BALTIMORE |
State | MD |
Zip Code | 21204-6808 |
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 |
Find all providers in zip 21204 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740726942 | George Oyler | Psychiatry & Neurology | 2924 Guilford Ave, Baltimore, MD 21218-4115 | 2017-01-11 |
1134672918 | Anne Damian Yacoub | Psychiatry & Neurology | 600 N Wolfe St Rm 627, Baltimore, MD 21287-0005 | 2016-07-28 |
1386038552 | Jumana Tariq A Alshaikh | Psychiatry & Neurology | 601 N Caroline St # 5064, Baltimore, MD 21287-0006 | 2015-03-25 |
1912391327 | Daniel Isaac Feldman | Psychiatry & Neurology | 4940 Eastern Ave., 301 Building, Suite 1201, Baltimore, MD 21224 | 2015-03-24 |
1184013633 | Kemar Green Green | Psychiatry & Neurology | 600 N Wolfe St Rm 2210, Baltimore, MD 21287-0005 | 2015-01-21 |
1396144093 | Peter Hui Jin | Psychiatry & Neurology | 16 S Eutaw St Ste 300, Baltimore, MD 21201-1698 | 2014-08-19 |
1396155842 | American Psychiatry Neurology and Sleep Medicine | Psychiatry & Neurology | 2205 Rogene Dr, #101, Baltimore, MD 21209-3443 | 2014-05-06 |
1063831493 | Megan Viereck Margiotta | Psychiatry & Neurology | 110 S Paca St # 3-125, Baltimore, MD 21201-1642 | 2014-04-14 |
1598183311 | Mark Leekoff | Psychiatry & Neurology | 16 S Eutaw St Fl 3, Baltimore, MD 21201-1606 | 2014-03-29 |
1689012312 | Haroon Zafar Ahmad | Psychiatry & Neurology | 110 S Paca St # 3-s125, Baltimore, MD 21201-1642 | 2013-06-04 |
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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.