CARL E STAFSTROM


Address: 200 N Wolfe St, Baltimore, MD 21287-0011
Phone: 4109554259

CARL E STAFSTROM (NPI# 1912979196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912979196
Entity Type Individual
Full Name CARL E STAFSTROM
Credential MD PHD
Practice Address 200 N Wolfe St
Baltimore
MD 21287-0011
Mailing Address Po Box 64227
Baltimore
MD 21264-4264
Practice Telephone 4109554259
Enumeration Date 2006-02-02
Last Update Date 2014-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 41489 WI Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
41489 WI Allopathic & Osteopathic Physicians
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
D77086 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 073165000 05

Office Location

Street Address 200 N WOLFE ST
City BALTIMORE
State MD
Zip Code 21287-0011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528537305 Oren Gordon Student in an Organized Health Care Education/Training Program 200 N Wolfe St, Baltimore, MD 21287-0011 2018-11-21
1285155333 Kelsey Stauff Student in an Organized Health Care Education/Training Program 200 N Wolfe St, Baltimore, MD 21287-0011 2017-06-29
1518403245 Donna Shatzer Nurse Practitioner 200 N Wolfe St, Baltimore, MD 21287-0011 2017-01-19
1922461714 Jacquelyn Manfredo Student in an Organized Health Care Education/Training Program 200 N Wolfe St, Baltimore, MD 21287-0011 2016-03-30
1659753903 Amanda Regina Wood Nurse Practitioner 200 N Wolfe St, Suite 2158, Baltimore, MD 21287-0011 2015-06-23
1871970301 Mark Porter Student in an Organized Health Care Education/Training Program 200 N Wolfe St, Baltimore, MD 21287-0011 2015-05-05
1841600087 Francis Tintani Student in an Organized Health Care Education/Training Program 200 N Wolfe St, Suite 2-111, Baltimore, MD 21287-0011 2014-04-28
1861819039 Brandon Michael Smith Pediatrics 200 N Wolfe St, Baltimore, MD 21287-0011 2014-03-25
1437418670 Tierra D. Burrell Pediatrics 200 N Wolfe St, Baltimore, MD 21287-0011 2012-05-09
1265716005 Eric Douglass Mccollum Pediatrics 200 N Wolfe St, Suite 3015, Baltimore, MD 21287-0011 2011-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140503 Thomas Dimitrios Zaikos Student in an Organized Health Care Education/Training Program Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 2020-07-01
1316572175 Sarah Branigan Pediatrics Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 2020-03-11
1790318657 Margaret Geraldine Keane Internal Medicine Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 2020-02-19
1699322636 Lakeya Mcgill Student in an Organized Health Care Education/Training Program 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 2019-08-23
1245882406 Ranim Amer Ibrahim Alsaad Student in an Organized Health Care Education/Training Program 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 2019-07-09
1992364004 Anthony David Pisaniello Student in an Organized Health Care Education/Training Program 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 2019-06-12
1255990503 Ethan Tumarkin Student in an Organized Health Care Education/Training Program 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 2019-06-11
1629636386 Kathleen Anne Malloy Counselor Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 2019-05-29
1285298489 Ashleigh Graham Student in an Organized Health Care Education/Training Program Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 2019-04-24
1851955066 Seena Tabibi Student in an Organized Health Care Education/Training Program Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 2019-04-24
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063559268 Kristin Whitford Baranano Psychiatry & Neurology 9910 Franklin Square Dr. Suite 2060, Johns Hopkins University- Clinical Practice Association, Baltimore, MD 21236-4902 2007-01-30
1528068939 Joseph Scheller Psychiatry & Neurology 2501 Willow Glen Dr, Baltimore, MD 21209-3106 2005-07-28
1578957130 Laura Malone Psychiatry & Neurology 1800 Orleans St Rm 8446, Baltimore, MD 21287-0010 2015-03-22
1457798290 Juan Alfredo Caceres Noguera Psychiatry & Neurology 2401 W Belvedere Ave, Baltimore, MD 21215-5216 2013-06-03
1508108879 Sinai Hospital of Baltimore, Inc Psychiatry & Neurology 2435 W Belvedere Ave, Suite 32, Baltimore, MD 21215-5224 2013-03-25
1467746156 Samata Singhi Psychiatry & Neurology 600 N Wolfe Street, Meyer 2-147, Baltimore, MD 21287-0005 2011-05-31
1689972523 Verena Staedtke Psychiatry & Neurology Johns Hopkins Hospital Department Of, 200 N Wolfe Street, Suite 2158, Baltimore, MD 21287-0001 2011-03-01
1083939326 Jacqueline Harris Psychiatry & Neurology 707 N Broadway, Baltimore, MD 21205-1888 2010-03-30
1972833994 Lisa Renee Sun Psychiatry & Neurology 1800 Orleans St, Room 8444, Baltimore, MD 21287-0010 2010-01-14
1487851721 Ryan Felling Psychiatry & Neurology 200 N Wolfe St, Harriet Lane, Suite 2158, Baltimore, MD 21287-0011 2007-06-29
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Competitor

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City BALTIMORE
Zip Code 21287

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Dataset Information

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.

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