MR. TAVERSHIMA ASOM (NPI# 1881923720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881923720 |
| Entity Type | Individual |
| Full Name | MR. TAVERSHIMA ASOM |
| Credential | MSN, RN, NP-C |
| Practice Address |
1111 N Charles St Baltimore MD 21201-5505 |
| Mailing Address |
3333 Hollow Ct Ellicott City MD 21043-3485 |
| Practice Telephone | 4108372050 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R216748 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP010531 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
| 1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
| 1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
| 1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
| 1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
| 1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
| 1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
| 1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
| 1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on MR. TAVERSHIMA ASOM.
| 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.