| Baltimore Suburban Health, Llc | |
|
10085 Red Run Blvd Ste 306 Owings Mills MD 21117-4832 | |
| (410) 653-0000 | |
| (410) 653-5531 |
| Full Name | Baltimore Suburban Health, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10085 Red Run Blvd Ste 306, Owings Mills, Maryland |
| Authorized Official Name and Position | Elliot S Rothschild (MANAGING MEMBER) |
| Authorized Official Contact | 4106530000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Suburban Health, Llc 10085 Red Run Blvd Ste 306 Owings Mills MD 21117-4832 Ph: (410) 653-0000 | Baltimore Suburban Health, Llc 10085 Red Run Blvd Ste 306 Owings Mills MD 21117-4832 Ph: (410) 653-0000 |
| NPI Number | 1013955723 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 11/15/2024 |
| Medicare PECOS PAC ID | 1850394677 |
|---|---|
| Medicare Enrollment ID | O20060817000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013955723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maryland) | Primary |
| Provider Name | Elliot S Rothschild |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346203866 PECOS PAC ID: 5193728913 Enrollment ID: I20100312000698 |
| Provider Name | Rachel S Benn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558412239 PECOS PAC ID: 8820127392 Enrollment ID: I20100520000829 |
| Provider Name | David R Roggen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992713622 PECOS PAC ID: 5597950030 Enrollment ID: I20101110000925 |
| Provider Name | Yury Malachevsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443086 PECOS PAC ID: 0749583391 Enrollment ID: I20160114002452 |
| Provider Name | Nomy Thomas Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265046742 PECOS PAC ID: 5496161358 Enrollment ID: I20210302000252 |
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Lifebridge Community Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117 Phone: 410-902-0277 Fax: 410-902-0443 | |
Lifebridge Community Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117 Phone: 410-902-1144 Fax: 410-902-6391 | |
Ez Health Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Painters Mill Rd Ste 106, Owings Mills, MD 21117 Phone: 240-552-0267 | |
Kingdom Medicine Administrative Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Painters Mill Rd Ste 205, Owings Mills, MD 21117 Phone: 410-907-1565 Fax: 443-445-4111 | |
Camelle Redding, Crnp,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9902 Linden Hill Rd Ste B, Owings Mills, MD 21117 Phone: 443-776-2583 Fax: 347-851-8731 |