| Jonathan Urbina, | |
|
600 N Wolfe St, Baltimore, MD 21287-0005 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Jonathan Urbina |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538690672 | NPI | - | NPPES |
| D90667 | Other | MD | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D90667 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Regional Medical Center | Marietta, GA | Hospital |
| Wellstar Paulding Medical Center | Hiram, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 3059 |
| Mak Anesthesia Holdings, Llc | 4284917204 | 370 |
| Entity Name | Georgia Anesthesiologists, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Mak Anesthesia Holdings, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Urbina, 6201 Greenleigh Ave Fl 2, Middle River, MD 21220-2004 Ph: (410) 933-6421 | Jonathan Urbina, 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-5000 |
Kathryn Rosenblatt, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-955-7461 Fax: 410-614-7903 |
Dr. Tiffani Danielle Pittman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Baltimore, MD 21239 Phone: 443-444-4863 Fax: 443-444-4997 |
Elizabeth Minh-ann Pham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 804-898-0825 |
Mark Dean Waguespack, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9000 Franklin Square Dr, Baltimore, MD 21237 Phone: 443-777-7179 Fax: 443-777-8242 |
Bruce Robert Gibson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100 |
Lynette Mark, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6353 |
Charles Lin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 Canton Ave, Baltimore, MD 21229 Phone: 410-368-3045 Fax: 410-951-4009 |