DR. ELYSE DARA PINE-TWADDELL (NPI# 1861606378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861606378 |
| Entity Type | Individual |
| Full Name | DR. ELYSE DARA PINE-TWADDELL |
| Other Name | DR. ELYSE DARA PINE |
| Credential | M.D. |
| Practice Address |
1111 N Charles St Baltimore MD 21201-5505 |
| Practice Telephone | 4108372050 |
| Practice Fax Number | 4107521374 |
| Mailing Telephone | 4108372050 |
| Mailing Fax Number | 4107521374 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D72266 | MD | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
D72266 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 554414900 | 05 |
| Street Address |
1111 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938200 | Dorian Keith Scott | Counselor | 1111 N Charles St, Baltimore, MD 21201-5505 | 2005-11-08 |
| 1396355673 | Juwanza Mcintosh | Psychologist | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-08-03 |
| 1619504362 | Tatyana Penn Brown | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-03-24 |
| 1508493172 | Bharti Sharma | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-03-24 |
| 1326673518 | Justin David Bartholomew | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-03-08 |
| 1265078463 | Chase Brexton Health Services, Inc. | Case Management | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-11-22 |
| 1295388783 | Ndifreke Enyeama | Family Medicine | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-07-23 |
| 1124689344 | Joseph Magness | Psychologist | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-06-27 |
| 1104386556 | Nicole Agneris Esquilin | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-03-21 |
| 1255801213 | Ashley Kristy Kansinally | Social Worker | 1111 N Charles St, Baltimore, MD 21201-5505 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248211 | Lauren Mendelsohn-levin, Md LLC | Pediatrics | 6905 Granite Ridge Ct, Baltimore, MD 21209-3856 | 2020-09-08 |
| 1790321172 | Lifebridge Metropolitan Physician Group II, LLC | Pediatrics | 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432 | 2019-11-21 |
| 1528534062 | Baltimore City Health Department | Pediatrics | 1301 Mcculloh St, Baltimore, MD 21217-3044 | 2018-10-23 |
| 1730664012 | Privia Care Center LLC | Pediatrics | 301 Saint Paul St Ste 409, Baltimore, MD 21202-2102 | 2018-10-02 |
| 1386147932 | Das Pediatrics | Pediatrics | 821 N Eutaw St Ste 305, Baltimore, MD 21201-6303 | 2018-03-09 |
| 1184142762 | Marieta S Caragay,m.d. | Pediatrics | 3455 Wilkens Ave Ste 102, Baltimore, MD 21229-5204 | 2017-09-05 |
| 1114455425 | Umar Qadri | Pediatrics | 4940 Eastern Ave # 021044, Baltimore, MD 21224-2735 | 2017-05-31 |
| 1487185765 | Jennifer Dibiagio | Pediatrics | 6565 N Charles St Ste 309, Baltimore, MD 21204-5804 | 2017-03-27 |
| 1538525456 | Catherine Deangelis | Pediatrics | 200 Tuscany Rd, Baltimore, MD 21210-3010 | 2016-01-07 |
| 1275913881 | Agape Health Systems | Pediatrics | 2300 Garrison Blvd Ste 130, Baltimore, MD 21216-2316 | 2015-06-09 |
| Find all providers in BALTIMORE | ||||
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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.