TELESFORD REYES (NPI# 1861440117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861440117 |
| Entity Type | Individual |
| Full Name | TELESFORD REYES |
| Credential | M.D. |
| Practice Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
| Mailing Address |
Po Box 64485 Baltimore MD 21264-4485 |
| Practice Telephone | 4107874000 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D0014816 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CIGNA | 8791933 | 01 |
| DC | CARE FIRST BLUE CROSS | S295 -0003 | 01 |
| MD | AETNA PPO | 4361641 | 01 |
| MD | AMERIGROUP | 73237 | 01 |
| MD | JOHNS HOPKINS HEALTH CARE | 102629 | 01 |
| MD | CARE FIRST BLUE CROSS | 52076901 | 01 |
| MD | AETNA HMO | 3057040 | 01 |
| Street Address |
301 HOSPITAL DR |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627507 | Richard Alan Kelton | Preventive Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-05-31 |
| 1871194662 | Rachel Ann Sands | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-06 |
| 1912507500 | Ca'seem Tyler | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-01 |
| 1043818651 | Michael Booth | Registered Nurse | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-15 |
| 1912504598 | Rachel Janine Weitman | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-06 |
| 1689288359 | Candace Katelynn Fazenbaker | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-09-01 |
| 1699385542 | Amanda Theresa Bailey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-08-05 |
| 1639797046 | Gloria Owusu-seshie | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-07-13 |
| 1447876693 | Ming Li | Nurse Anesthetist, Certified Registered | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| 1033735279 | Elodie Tendoh | Student in an Organized Health Care Education/Training Program | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477882363 | Whitney Morgen Green | Pathology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2009-12-23 |
| 1740469774 | Baltimore Washington Medical Center Inc. | Pathology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2007-10-26 |
| 1225153182 | Max Karl Fischer | Pathology | 810 Landmark Dr, Suite 116, Glen Burnie, MD 21061-4987 | 2007-03-20 |
| 1275523391 | Ferdinand Rodriguez | Pathology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-10-28 |
| 1356331557 | Juan A Suriel | Pathology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325301 | P4 Pathology P C | Pathology | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-09-18 |
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1730422973 | Lynette Alise Khan Parker | Pathology | 4301 Jones Bridge Rd Bldg B3102, Bethesda, MD 20814-4799 | 2013-04-05 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1164780367 | James Lyman Hall | Pathology | 11203 Neelsville Church Rd, Germantown, MD 20876-4130 | 2012-04-25 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1780975821 | Leroy Benjamin Buckler | Pathology | 1270 Old Madison Rd, Madison, MD 21648-1102 | 2011-04-24 |
| 1356653653 | Deepty Bhansali | Pathology | 10218 Shining Willow Dr, Rockville, MD 20850-5462 | 2010-07-02 |
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| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.