DR. MARK TRAVASSOS (NPI# 1912113861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912113861 |
| Entity Type | Individual |
| Full Name | DR. MARK TRAVASSOS |
| Credential | M.D. |
| Practice Address |
685 W Baltimore St Room 480 Baltimore MD 21201-1509 |
| Practice Telephone | 4107068695 |
| Practice Fax Number | 4107066205 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
D0071311 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
685 W BALTIMORE ST ROOM 480 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922060748 | Robin S. Barnes | Registered Nurse | 685 W Baltimore St, Baltimore, MD 21201-1509 | 2006-04-05 |
| 1295364248 | Sam Famenini | Student in an Organized Health Care Education/Training Program | 685 W Baltimore St, Baltimore, MD 21201-1509 | 2020-04-02 |
| 1144689845 | Kathleen Neuzil | Internal Medicine | 685 W Baltimore St, Room 480, Baltimore, MD 21201-1509 | 2016-02-23 |
| 1861789299 | Kathleen Palmer | Registered Nurse | 685 W Baltimore St, Mstf, Room 3-14, Baltimore, MD 21201-1509 | 2011-07-06 |
| 1881898450 | Monica Anne Mcarthur | Pediatrics | 685 W Baltimore St, Rm 480, Baltimore, MD 21201-1509 | 2007-06-14 |
| 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 |
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| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184760555 | Niranjan Bhat | Pediatrics | Division of Pediatric Infectious Diseases, 200 North Wolfe Street, Room 3093, Baltimore, MD 21287-0001 | 2007-01-30 |
| 1346342680 | Robert John Ancona | Pediatrics | 2 Hamill Road, Suite 405, Baltimore, MD 21210 | 2006-09-05 |
| 1851421200 | Andrea Ahn-yee Berry | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-03-06 |
| 1851435127 | Nadia Adjoa Sam-agudu | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-02-19 |
| 1306988837 | Laura Ann Guay | Pediatrics | 600 N Wolfe St, Carnegie 443, Baltimore, MD 21287-0005 | 2007-02-12 |
| 1720125248 | Tafadzwa Stephen Kasambira | Pediatrics | 200 N Wolfe St, #3093, Baltimore, MD 21287-0001 | 2007-01-31 |
| 1316982812 | Karen L Kotloff | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-06-18 |
| 1780627646 | James D Campbell | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-06-14 |
| 1417996190 | Sanjay Jain | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-06 |
| 1467449991 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-09-30 |
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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.