THERESE D'AMBROSIO (NPI# 1902345317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902345317 |
Entity Type | Individual |
Full Name | THERESE D'AMBROSIO |
Credential | PA-C |
Practice Address |
2435 W Belvedere Ave Hoffberger Suite 42 Baltimore MD 21215-5224 |
Mailing Address |
1100 Edmondson Ave Catonsville MD 21228-4901 |
Practice Telephone | 4106011122 |
Mailing Telephone | 4438483161 |
Enumeration Date | 2017-02-17 |
Last Update Date | 2017-02-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2435 W BELVEDERE AVE HOFFBERGER SUITE 42 |
City | BALTIMORE |
State | MD |
Zip Code | 21215-5224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
1295263895 | Rasha Shahin | Internal Medicine | 2435 W Belvedere Ave, Baltimore, MD 21215-5224 | 2017-05-25 |
1710410501 | Matthew Goldfarb | Student in an Organized Health Care Education/Training Program | 2435 W Belvedere Ave, Hoffberger Building Suite 42, Baltimore, MD 21215 | 2017-04-07 |
1912391004 | Natalia Feigin | Nurse Practitioner | 2435 W Belvedere Ave, Suite/21, Baltimore, MD 21215-5224 | 2015-03-26 |
1912348889 | Kornelija Colovic | Internal Medicine | 2435 W Belvedere Ave, Baltimore, MD 21215-5224 | 2013-07-08 |
1508108879 | Sinai Hospital of Baltimore, Inc | Psychiatry & Neurology | 2435 W Belvedere Ave, Suite 32, Baltimore, MD 21215-5224 | 2013-03-25 |
1144561044 | Xueying Xu | Physician Assistant | 2435 W Belvedere Ave, Suite 22, Baltimore, MD 21215-5224 | 2013-03-04 |
1033457569 | Lynetris Y Williams | Nurse Practitioner | 2435 W Belvedere Ave, Suite 22, Baltimore, MD 21215-5224 | 2013-01-17 |
1629362504 | Eyoatam Abebe | Physician Assistant | 2435 W Belvedere Ave, Suite 56, Baltimore, MD 21215-5224 | 2011-06-08 |
1790093011 | Lauren Smith | Nurse Practitioner | 2435 W Belvedere Ave, Suite 42, Baltimore, MD 21215-5224 | 2010-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
Find all providers in zip 21215 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
1528516879 | Chesapeake Bay Surgical Assistants | Physician Assistant | 6814 Chand Ct, Baltimore, MD 21237-3869 | 2016-09-15 |
1598172801 | Krista D Aghazarian | Physician Assistant | 227 Saint Paul St Fl 5, Baltimore, MD 21202-2001 | 2014-07-18 |
1831525997 | Michael Prada | Physician Assistant | 301 St. Paul Place, Lower Level, Maryland Spine Center At Mercy, Baltimore, MD 21202 | 2013-09-20 |
1871862748 | Arifa Rabia Sattar | Physician Assistant | 2900 S Hanover St Ste 105, Baltimore, MD 21225-1232 | 2011-12-22 |
1316180128 | Stanislav Mihaylov Stanislavov | Physician Assistant | 601 N Caroline St Fl 5, Baltimore, MD 21287-0006 | 2009-04-08 |
1780846402 | Annie Wong Kowalis | Physician Assistant | 2435 W Belvedere Avenue, Suite 42, Baltimore, MD 21215-5224 | 2008-06-25 |
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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.