BALTIMORE VAMC (NPI# 1972557304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972557304 |
| Entity Type | Organization |
| Organization Name | BALTIMORE VAMC |
| Other Organization Name | GLEN BURNIE VA CLINIC |
| Practice Address |
808 Landmark Dr Suite 128 Glen Burnie MD 21061-4983 |
| Mailing Address |
Po Box 89411 Cleveland OH 44101-6411 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GLEN BURNIE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245380872 | Baltimore Vamc | Clinic/Center | 5235 King Ave Ste 200, Rosedale, MD 21237-4068 | 2007-01-12 |
| 1326087719 | Baltimore Vamc | Clinic/Center | 1701 Market St, Suite 211, Pocomoke City, MD 21851-1738 | 2006-06-04 |
| 1750331831 | Baltimore Vamc | General Acute Care Hospital | Avenue D #59, Perry Point, MD 21902-1001 | 2006-05-11 |
| 1972551596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 601 Perryville Drive, Perry Point, MD 21902-1111 | 2006-05-05 |
| 1376054429 | Baltimore Vamc | Clinic/Center | 209 W Fayette St, Baltimore, MD 21201-3403 | 2017-10-17 |
| 1811236060 | Baltimore Vamc | Clinic/Center | 2479 5th Street, Fort Meade, MD 20755 | 2013-02-07 |
| 1447206560 | Baltimore Vamc | General Acute Care Hospital | 3901 The Alameda, Baltimore, MD 21218-2100 | 2006-05-26 |
| 1073564688 | Baltimore Vamc | Clinic/Center | 830 Chesapeake Dr, Cambridge, MD 21613-9408 | 2006-05-16 |
| 1083663157 | Baltimore Vamc | General Acute Care Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-08 |
| 1164480596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-03 |
| Street Address |
808 LANDMARK DR SUITE 128 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258876 | Gerard Lowder | Internal Medicine | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2005-07-11 |
| 1649631490 | Siga Vaskys | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2016-03-08 |
| 1639557010 | Heather Spoon | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2015-05-18 |
| 1841602877 | Foundation Medical Clinic | Clinic/Center | 808 Landmark Dr, Suite 116, Glen Burnie, MD 21061-4983 | 2014-05-26 |
| 1205255122 | Nancy Cooper | Dietitian, Registered | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2014-04-08 |
| 1811335292 | Sharon Marie Kennedy | Dietitian, Registered | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2013-06-07 |
| 1245597616 | Foot & Ankle Center of Maryland, LLC | Podiatrist | 808 Landmark Dr, Suite 225, Glen Burnie, MD 21061-4983 | 2012-04-23 |
| 1073806717 | Hormone Replacement Clilnic | Specialist | 808 Landmark Dr, Suite 116, Glen Burnie, MD 21061-4983 | 2011-05-26 |
| 1346482304 | Lauren Michelle Maragh | Internal Medicine | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2009-04-06 |
| 1578730479 | Marguerite A Downs | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2008-05-12 |
| Find all providers in the same location | ||||
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797182 | Loretta Irene Spessard | Clinic/Center | 664 Trafalgar Dr, Hagerstown, MD 21742-1230 | 2019-08-26 |
| 1003398728 | Washington Dc Vamc | Clinic/Center | 15810 Gaither Dr Ste 130, Gaithersburg, MD 20877-1429 | 2018-08-29 |
| 1558614875 | Washington Dc Vamc | Clinic/Center | 2268 Cedar Point Rd, Patuxent River, MD 20670-9998 | 2012-10-24 |
| 1215224399 | Martinsburg Vamc | Clinic/Center | 1433 Porter Street, Frederick, MD 21702-5000 | 2011-07-08 |
| 1043541279 | Va Maryland Health Care System | Clinic/Center | 361 Boiler House Rd, Va Medical Center, Perry Point, MD 21902-1103 | 2010-01-28 |
| 1245380872 | Baltimore Vamc | Clinic/Center | 5235 King Ave Ste 200, Rosedale, MD 21237-4068 | 2007-01-12 |
| 1457441289 | Vamhcs | Clinic/Center | 5611 Old New Market Rd, New Market, MD 21774-6201 | 2006-10-13 |
| 1326087719 | Baltimore Vamc | Clinic/Center | 1701 Market St, Suite 211, Pocomoke City, MD 21851-1738 | 2006-06-04 |
| 1649218165 | Washington Dc Vamc | Clinic/Center | 29431 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2006-06-04 |
| 1285272385 | Washington Dc Vamc | Clinic/Center | 45870 East Run Drive, Suite 300, Lexington Park, MD 20653-9998 | 2019-12-19 |
| 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.