BAYSIDE GYNECOLOGY OF MARYLAND, LLC (NPI# 1881062404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881062404 |
| Entity Type | Organization |
| Organization Name | BAYSIDE GYNECOLOGY OF MARYLAND, LLC |
| Practice Address |
200 E 33rd St Suite 466 Baltimore MD 21218-3322 |
| Mailing Address |
Po Box 1647 Owings Mills MD 21117-1664 |
| Practice Telephone | 4102436224 |
| Practice Fax Number | 4102437222 |
| Mailing Telephone | 4102436224 |
| Mailing Fax Number | 4102437222 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | RAKHI GUPTA (PRESIDENT) |
| Authorized Official Telephone | 4102436224 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0063566 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 005732100 | 05 |
| Street Address |
200 E 33RD ST SUITE 466 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198766 | Clarence Tabb | Specialist/Technologist, Other | 200 E 33rd St, Suite 487, Baltimore, MD 21218-3322 | 2017-04-14 |
| 1831637131 | Marsha Guilford Davenport | Preventive Medicine | 200 E 33rd St, Suite 136, Baltimore, MD 21218-3322 | 2017-02-07 |
| 1013360403 | Shannon Hahn | Audiologist | 200 E 33rd St, Baltimore, MD 21218-3322 | 2016-07-20 |
| 1730532300 | Maryland Ear Nose and Throat Center, LLC | Health Maintenance Organization | 200 E 33rd St, Baltimore, MD 21218-3322 | 2016-07-19 |
| 1417356486 | Katherine Houglum | Nurse Practitioner | 200 E 33rd St, Suite 233, Baltimore, MD 21218-3322 | 2014-08-15 |
| 1134569320 | Sasha Phillips | Audiologist | 200 E 33rd St, Baltimore, MD 21218-3322 | 2013-07-02 |
| 1811267206 | Amani F. Hemphill, M.d., L.L.C. | Plastic Surgery | 200 E 33rd St, Suite 357, Baltimore, MD 21218-3322 | 2012-01-03 |
| 1790062347 | Nathan G. Berger, M.d.,p.a. | Obstetrics & Gynecology | 200 E 33rd St, Suite 470, Baltimore, MD 21218-3322 | 2011-11-10 |
| 1457631541 | Union Memorial Hospital | General Acute Care Hospital | 200 E 33rd St, 631, Baltimore, MD 21218-3322 | 2011-08-22 |
| 1518262419 | Marguerite T Moran, Md, LLC | Clinic/Center | 200 E 33rd St, Suite 265, Baltimore, MD 21218-3322 | 2011-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1659722239 | Guy Jackson | Obstetrics & Gynecology | 425 N Chapel Gate Ln, Baltimore, MD 21229-2430 | 2016-06-25 |
| 1083077952 | Anna Jo Bodurtha Smith | Obstetrics & Gynecology | 1000 Fell St Apt 630, Baltimore, MD 21231-3560 | 2016-03-30 |
| 1023438850 | Golsa Mirmiran Yazdy | Obstetrics & Gynecology | 4940 Eastern Ave Bldg A1, Baltimore, MD 21224-2735 | 2014-04-19 |
| 1689091514 | Keila Siomara Muniz | Obstetrics & Gynecology | 4940 Eastern Ave Bldg Room3100, Baltimore, MD 21224-2735 | 2014-03-28 |
| 1467899179 | Caroline Davis Shell | Obstetrics & Gynecology | 37 Walker Ave Ste 100, Baltimore, MD 21208-4030 | 2013-06-04 |
| 1114299237 | Shoghag Lajinian | Obstetrics & Gynecology | 6604 Deancroft Rd, Baltimore, MD 21209-2713 | 2012-02-05 |
| 1285929778 | Dilip Guha-ray | Obstetrics & Gynecology | 11 Slade Ave # 61a, Baltimore, MD 21208-5299 | 2011-06-13 |
| 1861783391 | Stefanie M Rodwell | Obstetrics & Gynecology | 6565 N Charles St Ste 406, Baltimore, MD 21204-5803 | 2011-05-02 |
| 1740579150 | Kristi Renea King | Obstetrics & Gynecology | 1001 Pine Heights Ave Ste 203, Baltimore, MD 21229 | 2011-04-06 |
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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.