GREATER BALTIMORE MEDICAL CENTER, INC. (NPI# 1912072828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912072828 |
| Entity Type | Organization |
| Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Other Organization Name | GBMC, INC-CARDIOLOGY |
| Practice Address |
6701 N Charles St Dept of Cardiology Baltimore MD 21204-6808 |
| Mailing Address |
Po Box 631568 Baltimore MD 21263-1568 |
| Practice Telephone | 4438492000 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | MR. ERIC MELCHIOR (EXECUTIVE VICE PRES & CFO) |
| Authorized Official Telephone | 4438492519 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST MARYLAND | KJ39GB | 01 |
| MD | CAREFIRST REGIONAL | S136 | 01 |
| Other Name | Type Code |
|---|---|
| GBMC, Inc-Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
| 1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
| 1114257144 | Greater Baltimore Medical Center, Inc. | Medical Genetics | 6701 N Charles St Unit 23, Baltimore, MD 21204-6808 | 2010-01-14 |
| 1164675906 | Greater Baltimore Medical Center, Inc. | Occupational Therapist | 6569 N Charles St Ste 305, Baltimore, MD 21204-5817 | 2008-10-24 |
| 1760625883 | Greater Baltimore Medical Center, Inc. | Neurological Surgery | 6535 N Charles St Ste 600, Baltimore, MD 21204-5827 | 2009-04-20 |
| 1194963496 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6535 N Charles St, Ste 125, Baltimore, MD 21204-5826 | 2009-01-26 |
| 1194973396 | Greater Baltimore Medical Center, Inc. | Audiologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-09-03 |
| 1568624856 | Greater Baltimore Medical Center, Inc. | Speech-Language Pathologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-06-27 |
| 1689702227 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-03-02 |
| 1467589705 | Greater Baltimore Medical Center, Inc. | Family Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER BALTIMORE MEDICAL CENTER, INC. | 6701 N Charles St, Baltimore, MD 21204-6808 |
| Street Address |
6701 N CHARLES ST DEPT OF CARDIOLOGY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114699 | Douglas Edward Kircher | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2005-06-20 |
| 1083180327 | Louise Potter Hanssen | Nurse Practitioner | 6701 N Charles St, Baltimore, MD 21204-6808 | 2018-10-14 |
| 1568945806 | Rita Mallouh | Surgery | 6701 N Charles St, Baltimore, MD 21204-6881 | 2018-09-12 |
| 1609361880 | Margaret Craun | Occupational Therapist | 6701 N Charles St, Baltimore, MD 21204 | 2018-06-29 |
| 1639687163 | Omolara Olasimbo | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2018-01-18 |
| 1235640509 | Marissa Ann Kennell | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-10-13 |
| 1760907497 | Carine Marie Cattier | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-08-03 |
| 1134656408 | Sherrie Onte Oladapo | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-05-17 |
| 1902343825 | Kathryn Woods | Registered Nurse | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-01-30 |
| 1306382973 | Anne Parks | Physician Assistant | 6701 N Charles St, Baltimore, MD 21204-6808 | 2017-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1407119712 | Yitzhak Rosen | Internal Medicine | Sheikh Zayed - Echo Lab, 1800 Orleans Streeet, 4th Floor, Baltimore, MD 21287-0010 | 2012-06-21 |
| 1013206119 | Thorsten Martin Leucker | Internal Medicine | 4940 Eastern Ave Ste 2400, Baltimore, MD 21224-2735 | 2011-03-30 |
| 1003115387 | Tolulope Adesiyun Agunbiade | Internal Medicine | 3333 N Calvert St Ste Llo8, Baltimore, MD 21218 | 2011-03-25 |
| 1932401544 | Esther Sung Hee Pak | Internal Medicine | 4416 Laplata Ave, Apt A, Baltimore, MD 21211-1135 | 2010-12-02 |
| 1598990780 | Boon Yew Tan | Internal Medicine | 600 N Wolfe Street Carnegie 592, Baltimore, MD 21287-0001 | 2009-05-18 |
| 1548494529 | Mansoor Mozayan | Internal Medicine | 9105 Franklin Square Dr Ste 209, Baltimore, MD 21237-3958 | 2009-05-06 |
| 1083880876 | John Rickard | Internal Medicine | 301 Mason Lord Dr, Baltimore, MD 21224-3057 | 2008-05-01 |
| 1639362247 | Ramanather Sirithara, M.d., P.a. | Internal Medicine | 3001 Hanover St, Suite 334, Baltimore, MD 21225-1233 | 2007-08-27 |
| 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.