DEBOBETH MEDICAL CENTER


Address: 3107 Erdman Ave, Baltimore, MD 21213-1719
Phone: 4439045129

DEBOBETH MEDICAL CENTER (NPI# 1871074096) 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) 1871074096
Entity Type Organization
Organization Name DEBOBETH MEDICAL CENTER
Practice Address 3107 Erdman Ave
Baltimore
MD 21213-1719
Mailing Address 2144 Chantilla Rd
Baltimore
MD 21228-3703
Practice Telephone 4439045129
Mailing Telephone 4439045129
Enumeration Date 2018-08-25
Last Update Date 2018-08-25
Authorized Official Name MERCY FADOJU (PROVIDER)
Authorized Official Telephone 4439045129
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RI33965 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 414768500 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225651433 Debobeth Medical Center Clinic/Center 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-21
1508489758 Debobeth Medical Center Psychiatry & Neurology 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-22
1447873690 Debobeth Medical Center Psychiatry & Neurology 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-22
1255954400 Debobeth Medical Center Psychiatry & Neurology 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-22
1285255935 Debobeth Medical Center Psychiatry & Neurology 3109 Erdman Ave, Baltimore, MD 21213-1719 2020-05-05
1467087031 Debobeth Medical Center Psychiatry & Neurology 3109 Erdman Ave, Baltimore, MD 21213-1719 2020-03-04
1174155733 Debobeth Medical Center Psychiatry & Neurology 3109 Erdman Ave, Baltimore, MD 21213-1719 2020-02-11
1023640604 Debobeth Medical Center Psychiatry & Neurology 3109 Erdman Ave, Baltimore, MD 21213-1719 2020-02-11
1336771922 Debobeth Medical Center Psychiatry & Neurology 3109 Erdman Ave, Baltimore, MD 21213-1719 2020-02-11
1043791122 Debobeth Medical Center Clinic/Center 3107 Erdman Ave, Baltimore, MD 21213-1719 2018-08-27

Office Location

Street Address 3107 ERDMAN AVE
City BALTIMORE
State MD
Zip Code 21213-1719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790328268 Christianah Bosede Egiefameh Nurse Practitioner 3107 Erdman Ave, Baltimore, MD 21213-1719 2019-10-28
1043791122 Debobeth Medical Center Clinic/Center 3107 Erdman Ave, Baltimore, MD 21213-1719 2018-08-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225651433 Debobeth Medical Center Clinic/Center 3107-3109 Erdman Avenue, Baltimore, MD 21213 2020-05-21
1538627807 Beverly V Whittaker-mcdermott Social Worker 3007 E. Biddle Street, Baltimore, MD 21213 2019-03-06
1164926085 Redeem Healthcare and Medical System Inc Clinic/Center 3240 Belair Rd Fl 1, Baltimore, MD 21213 2018-03-23
1700398914 Ags Programs LLC Clinic/Center 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 2017-10-27
1558883918 Dayspring Programs, Inc. Substance Abuse Rehabilitation Facility 1125 N. Patterson Park Avenue, Baltimore, MD 21213 2017-07-07
1699205294 Live & Let Live LLC Counselor 3549 Elmley Avenue, Baltimore, MD 21213 2017-06-15
1174052518 Vel J Humbert Counselor 3549 Elmley Ave, Baltimore, MD 21213 2017-06-08
1134676620 Larry Kirkland Counselor 3051 Sinclair Lane, Baltimore, MD 21213 2016-09-01
1093170862 Renewed Minds Therapeutic Services LLC Clinic/Center 1515 E Biddle Street, Baltimore, MD 21213 2015-12-22
1073980827 Family Therapy Services,llc Counselor 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 2015-08-27
Find all providers in zip 21213

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962000679 Laly Sorto Nurse Practitioner 923 S Curley St, Baltimore, MD 21224-4825 2020-10-14
1093312209 Shelby Bruno Nurse Practitioner 29 S Greene St Fl 2, Baltimore, MD 21201-1504 2020-10-01
1558996520 Mercy Olunma Ejikemeh Nurse Practitioner 4625 Riddle Dr, Baltimore, MD 21236-5702 2020-03-10
1215599170 Shannon Joan Carroll Nurse Practitioner 1448 Richardson St, Baltimore, MD 21230-5322 2019-07-01
1558853747 Jackline Ukadike Nurse Practitioner 650 S Exeter St, Baltimore, MD 21202-4573 2018-06-04
1881183283 Rosanna Thy Dinh Nurse Practitioner 419 W Redwood St Ste 330, Baltimore, MD 21201-7003 2018-05-02
1992219885 Josie Dantzler Nurse Practitioner 405 N Paca St Fl 1, Baltimore, MD 21201-1815 2017-11-30
1306358908 Gina Lynne Murray Nurse Practitioner 4102 Chardel Rd Apt 3f, Baltimore, MD 21236-5463 2017-11-04
1114440468 Abigale Ann Celotto Nurse Practitioner 22 S Greene St # G7k22, Baltimore, MD 21201-1544 2017-07-19
1669994505 Stephen J Condouris Nurse Practitioner 4544 Keswick Rd, Baltimore, MD 21210 2017-07-12
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21213

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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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