DR. CHERIF BOUTROS (NPI# 1912105495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912105495 |
| Entity Type | Individual |
| Full Name | DR. CHERIF BOUTROS |
| Credential | M.D. |
| Practice Address |
305 Hospital Drive Tate Center Glen Burnie MD 21061 |
| Mailing Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
| Practice Telephone | 4105538146 |
| Mailing Telephone | 4107874594 |
| Mailing Fax Number | 4107874846 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
D0070965 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST GROUP | Q818-0022 | 01 |
| MD | MEDICARE RAIL ROAD | P00893238 | 01 |
| MD | 034615200 | 05 | |
| MD | JOHNS HOPKINS HEALTHCARE | 238612 | 01 |
| MD | CAREFIRST RENDERING NUMBER | 967368-02 | 01 |
| MD | MEDICARE RAIL ROAD | GROUP PTAN:DQ7486 | 01 |
| Street Address |
305 HOSPITAL DRIVE TATE CENTER |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730466640 | Udai S. Kammula | Surgery | 6514 Democracy Blvd, Bethesda, MD 20817-1679 | 2011-11-05 |
| 1093962581 | Udo Rudloff | Surgery | Center for Cancer Research Ccr Nci Nih, Hatfield Center, Room 4-5940, 10 Center Drive, Bethesda, MD 20892-0001 | 2008-08-26 |
| 1972721009 | John Milburn Jessup | Surgery | 8012 Coach St, Potomac, MD 20854-3809 | 2007-04-23 |
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1922635531 | Lumiri Surgical LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-03-24 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1205199874 | Richard Birkett | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-06-19 |
| 1730457102 | Francesco Maria Marincola | Surgery | 9000 Rockville Pike, Bethesda, MD 20892-0001 | 2011-12-13 |
| 1073880183 | Sinai Hospital of Baltimore, Inc | Surgery | 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216 | 2011-11-18 |
| 1346539566 | Yinin Hu | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201-7003 | 2011-03-29 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.