DR. JUAN M JUANTEGUY (NPI# 1932124989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932124989 |
| Entity Type | Individual |
| Full Name | DR. JUAN M JUANTEGUY |
| Credential | M.D. |
| Practice Address |
1838 Greene Tree Rd Suite 285 Pikesville MD 21208-6391 |
| Mailing Address |
2401 W Belvedere Ave Attn: Credentialing Baltimore MD 21215-5216 |
| Practice Telephone | 4109024450 |
| Practice Fax Number | 4109024411 |
| Mailing Telephone | 4106015524 |
| Mailing Fax Number | 4106018946 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | D06095 | MD | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D06095 | MD | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D06095 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE PROVIDER # | P00341576 | 01 |
| MD | R/R MEDICARE GROUP # | CB9278 | 01 |
| Street Address |
1838 GREENE TREE RD SUITE 285 |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356855068 | Brittany Ann Easter | Nurse Practitioner | 1838 Greene Tree Rd, Pikesville, MD 21208-6391 | 2017-11-17 |
| 1851843502 | Kenneth Agboifo | Pharmacist | 1838 Greene Tree Rd, Ste 100, Pikesville, MD 21208-6391 | 2016-10-28 |
| 1194275453 | Lifebridge Community Physicians, Inc. | Internal Medicine | 1838 Greene Tree Rd, Suite 300, Pikesville, MD 21208-6391 | 2016-10-11 |
| 1881065886 | Noam Eitan | Physical Therapist | 1838 Greene Tree Rd, Ste 290, Pikesville, MD 21208-6391 | 2015-10-15 |
| 1063810836 | Allison Heussler | Pharmacist | 1838 Greene Tree Rd, Pikesville, MD 21208-6391 | 2014-12-10 |
| 1295148062 | Karen Babitt, Md,llc | Internal Medicine | 1838 Greene Tree Rd, Ste.300, Pikesville, MD 21208-6391 | 2014-06-09 |
| 1154741585 | Lifebridge Community Pulmonology, LLC | Internal Medicine | 1838 Greene Tree Rd, Suite 350, Pikesville, MD 21208-6391 | 2014-04-24 |
| 1033558416 | Lifebridge Community Gastroenterology, LLC | Internal Medicine | 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-6391 | 2013-06-19 |
| 1053654814 | Gbenga Adeyemi Adeyeye | Physician Assistant | 1838 Greene Tree Rd, Ste 135, Pikesville, MD 21208-7108 | 2013-03-30 |
| 1861730863 | Justyna Brys Mira | Nurse Practitioner | 1838 Greene Tree Rd, Suite 150, Pikesville, MD 21208-6391 | 2013-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745336 | David Myers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 713 Childs Point Rd, Annapolis, MD 21401-4498 | 2020-03-18 |
| 1457652505 | Richard Nathaniel Scott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13321 Ridgewood Dr, Ellicott City, MD 21042-1265 | 2010-11-05 |
| 1144458449 | Lindsey Michelle Prescher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Wisconsin Ave Cardiothoracic Surgery Department, Bethesda, MD 20889-0140 | 2009-06-24 |
| 1134363500 | Ferdinand S. Leacock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3442 Rockway Ave, Annapolis, MD 21403-4852 | 2009-04-28 |
| 1235377862 | Paul Damien Hatton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3107 Black Chestnut Ln, Chevy Chase, MD 20815-4754 | 2009-02-04 |
| 1821252370 | Parijat Mukund Didolkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5051 Greenspring Ave Ste 304, Baltimore, MD 21209 | 2008-07-14 |
| 1801054630 | The Medical Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7500 Hanover Pkwy Ste 205, Greenbelt, MD 20770-2009 | 2008-05-29 |
| 1871777995 | Barry J. Levin, M.d. LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10215 Fernwood Rd Ste 405, Bethesda, MD 20817-1191 | 2007-12-26 |
| 1518140946 | Nicholas John Karis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2007-12-07 |
| 1336349554 | Cardiac Surgery Associates, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3328 Butler Rd, Reisterstown, MD 21136-3855 | 2007-07-25 |
| Find all providers with the same taxonomy | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
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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.