John Antoniades (NPI# 1437187960, PAC ID# 4486626843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1437187960 |
| PAC ID by PECOS | 4486626843 |
| Professional Enrollment ID | I20040810000292 |
| Full Name | John Antoniades |
| Organization Legal Name | ST. AGNES HEALTHCARE, INC. |
| Address |
3449 Wilkens Ave 107 Integrated Specialists Group Baltimore MD 21229-5216 |
| Phone Number | 6672349992 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9830092733 |
| Number of Group Practice Members | 212 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210011 | SAINT AGNES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3449 Wilkens Ave, 107 Integrated Specialists Group, Baltimore, MD 21229-5216 | 6672349992 | ST. AGNES HEALTHCARE, INC. |
| Organization Legal Name | ST. AGNES HEALTHCARE, INC. |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad W Ahad | General Surgery | St. Agnes Healthcare, Inc. | 3407 Wilkens Ave, 410 Maryland Surgeons, Baltimore, MD 21229-5074 |
| Victoria V Manger | Certified Registered Nurse Anesthetist (crna) | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Kerry E Owens | Plastic and Reconstructive Surgery | St. Agnes Healthcare, Inc. | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4712 |
| Hana Adem | Physician Assistant | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Juping Bao | Anesthesiology | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Linda J Swallow | Nurse Practitioner | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Sanaz Sakiani | Endocrinology | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Neal Dodia | Critical Care (intensivists) | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Jennifer Jill Rodriguez | Physician Assistant | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Lauren E Slater | Physician Assistant | St. Agnes Healthcare, Inc. | 900 Caton Ave, Baltimore, MD 21229-5201 |
| Street Address |
3449 WILKENS AVE 107 INTEGRATED SPECIALISTS GROUP |
| City | BALTIMORE |
| State | MD |
| Zip | 21229-5216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Bonsu | Obstetrics/gynecology | Seton Medical Group Inc | 3449 Wilkens Ave, Suite 305, Baltimore, MD 21229-5218 |
| Abimbade A Akhigbe | Obstetrics/gynecology | Seton Medical Group Inc | 3449 Wilkens Ave, Suite 305, Baltimore, MD 21229-5218 |
| Michael P Vietz | Obstetrics/gynecology | Seton Medical Group Inc | 3449 Wilkens Ave, Suite 305, Baltimore, MD 21229-5218 |
| Rachel E Heibein | Nurse Practitioner | Seton Medical Group Inc | 3449 Wilkens Ave, Suite 300, Baltimore, MD 21229-5218 |
| Suzanne M Bressette | Qualified Audiologist | St. Agnes Healthcare, Inc. | 3449 Wilkens Ave, Suite 200, Baltimore, MD 21229-5217 |
| Christopher T Badger | Internal Medicine | Seton Medical Group Inc | 3449 Wilkens Ave, Suite 300, Baltimore, MD 21229-5218 |
| Sundaram Krishnan Chettiar | Pain Management | St. Agnes Healthcare, Inc. | 3449 Wilkens Ave, 107 Integrated Specialists Group, Baltimore, MD 21229-5216 |
| William J Kang | Orthopedic Surgery | St. Agnes Healthcare, Inc. | 3449 Wilkens Ave, 107 Integrated Specialists Group, Baltimore, MD 21229-5216 |
| Enzo Cosentino | Otolaryngology | St. Agnes Healthcare, Inc. | 3449 Wilkens Ave, Suite 200, Baltimore, MD 21229-5217 |
| Douglas L Pinto | Internal Medicine | Seton Medical Group Inc | 3449 Wilkens Ave, Suite 300, Baltimore, MD 21229-5218 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnny T Yap | Obstetrics/gynecology | 5200 Baltimore National Pike, Baltimore, MD 21229-1024 | |
| Catharine L Weiss | Clinical Psychologist | University Care LLC | 4538 Edmondson Ave, Baltimore, MD 21229-1506 |
| Wondwosen Abdi | Gastroenterology | Wondwosen Abdi, Md,pa | 5411 Old Frederick Rd, Suite 11, Baltimore, MD 21229-2100 |
| Icia Ragsdale | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Telisa Hickson | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Sharon Mccormack | Internal Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Christine L Commerford | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Victoria Steiner-larsen | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Damian E Birchess | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Mesay W Gebresilassie | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 22 S Athol Ave, Baltimore, MD 21229-3405 |
| Find all physicians in zip 21229 | |||
| City | BALTIMORE |
| Zip Code | 21229 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BALTIMORE + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.