| Maryland General Clinical Practice Group, Inc. | |
|
827 Linden Ave Baltimore MD 21264-0001 | |
| (443) 462-5093 | |
| Not Available |
| Full Name | Maryland General Clinical Practice Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 827 Linden Ave, Baltimore, Maryland |
| Authorized Official Name and Position | George Sprinkel (CFO) |
| Authorized Official Contact | 4103281501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland General Clinical Practice Group, Inc. Po Box 64522 Baltimore MD 21264-4522 Ph: (443) 462-5093 | Maryland General Clinical Practice Group, Inc. 827 Linden Ave Baltimore MD 21264-0001 Ph: (443) 462-5093 |
| NPI Number | 1770684805 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 8123926649 |
|---|---|
| Medicare Enrollment ID | O20041109000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770684805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Marcus Francisco Sciadini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558304667 PECOS PAC ID: 4183510910 Enrollment ID: I20040226001019 |
| Provider Name | Eugene J Schweitzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598789778 PECOS PAC ID: 1254321854 Enrollment ID: I20040515000169 |
| Provider Name | Deborah L Schofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366635443 PECOS PAC ID: 7113831280 Enrollment ID: I20040917000708 |
| Provider Name | Janaki C Kuruppu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245285089 PECOS PAC ID: 8426015769 Enrollment ID: I20041217000524 |
| Provider Name | Tynnetta Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578573440 PECOS PAC ID: 9739137035 Enrollment ID: I20050104000207 |
| Provider Name | Naznin Esphani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306846852 PECOS PAC ID: 1355394404 Enrollment ID: I20050301000333 |
| Provider Name | Dimitrios V Mavrophilipos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861537797 PECOS PAC ID: 1153360680 Enrollment ID: I20050425001221 |
| Provider Name | Ashok K Agrawal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033180070 PECOS PAC ID: 4082653217 Enrollment ID: I20050427001083 |
| Provider Name | Cynthia D Broadnax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710971221 PECOS PAC ID: 8022051671 Enrollment ID: I20050606000541 |
| Provider Name | Zacharias V Mavrophilipos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366587297 PECOS PAC ID: 9931138260 Enrollment ID: I20050808000488 |
| Provider Name | Gedion Atnafu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326006578 PECOS PAC ID: 1850326935 Enrollment ID: I20050927001498 |
| Provider Name | Carla A Aresco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235202037 PECOS PAC ID: 1052413697 Enrollment ID: I20070228000126 |
| Provider Name | Robert T Chow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447200902 PECOS PAC ID: 6507968187 Enrollment ID: I20070228000490 |
| Provider Name | Rupinder Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750480729 PECOS PAC ID: 0648240010 Enrollment ID: I20070328000664 |
| Provider Name | Robert G Dewberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922194380 PECOS PAC ID: 6002911633 Enrollment ID: I20070410000440 |
| Provider Name | Shabbir A Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740334747 PECOS PAC ID: 0749388064 Enrollment ID: I20070611000598 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20071022000306 |
| Provider Name | Patricia A Eben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700966496 PECOS PAC ID: 4385607027 Enrollment ID: I20071120000673 |
| Provider Name | Kofi Owusu Antwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801097084 PECOS PAC ID: 6204912314 Enrollment ID: I20080328000380 |
| Provider Name | Vijay K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922169028 PECOS PAC ID: 5496833469 Enrollment ID: I20080416000659 |
| Provider Name | Sherla S Farrell-sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013178862 PECOS PAC ID: 6709950645 Enrollment ID: I20080811000417 |
| Provider Name | Aderonke O Omotade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568571305 PECOS PAC ID: 3577623180 Enrollment ID: I20081126000384 |
| Provider Name | Udaya Bhaskara R Sunkara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578542593 PECOS PAC ID: 3072659267 Enrollment ID: I20091001000010 |
| Provider Name | Benjamin I Opara |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548221054 PECOS PAC ID: 3971649419 Enrollment ID: I20091014000073 |
| Provider Name | Laurence H Scipio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275505711 PECOS PAC ID: 0648319376 Enrollment ID: I20091209000225 |
| Provider Name | Shirene Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932383288 PECOS PAC ID: 4385785971 Enrollment ID: I20100105000122 |
| Provider Name | Michael P Lilly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700887916 PECOS PAC ID: 6204961865 Enrollment ID: I20100322000165 |
| Provider Name | Kelechi A Uduhiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598880460 PECOS PAC ID: 7911034228 Enrollment ID: I20100419000339 |
| Provider Name | Patricia A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265759856 PECOS PAC ID: 4981735685 Enrollment ID: I20100624000300 |
| Provider Name | Anwar I Khokhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407822927 PECOS PAC ID: 1052443546 Enrollment ID: I20100720000040 |
| Provider Name | Michael G Hayes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871566125 PECOS PAC ID: 7214829738 Enrollment ID: I20100823000338 |
| Provider Name | Renee N Carter Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891816146 PECOS PAC ID: 0547386625 Enrollment ID: I20100927000238 |
| Provider Name | Sivarama Kp Sompalli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922028307 PECOS PAC ID: 9133312382 Enrollment ID: I20101020000189 |
| Provider Name | Saverio Mirarchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639124365 PECOS PAC ID: 4183812795 Enrollment ID: I20101227000378 |
| Provider Name | Marian Currens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508950015 PECOS PAC ID: 5092991331 Enrollment ID: I20110520000273 |
| Provider Name | David Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013204668 PECOS PAC ID: 9638357965 Enrollment ID: I20110708000499 |
| Provider Name | Jennifer L Goldsborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174661094 PECOS PAC ID: 1658538921 Enrollment ID: I20120130000557 |
| Provider Name | Daniel Ray Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497793673 PECOS PAC ID: 6305856287 Enrollment ID: I20120220000377 |
| Provider Name | Jared Muhati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760703185 PECOS PAC ID: 7719003110 Enrollment ID: I20120629000150 |
| Provider Name | Jonathan Patrick Pearl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114989407 PECOS PAC ID: 6608877923 Enrollment ID: I20120821000684 |
| Provider Name | Yvonne M Rasko |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902000789 PECOS PAC ID: 3678721107 Enrollment ID: I20120907000201 |
| Provider Name | Hugo Bonatti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861609869 PECOS PAC ID: 6002976800 Enrollment ID: I20130820000436 |
| Provider Name | Suzanna Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629360011 PECOS PAC ID: 8426228503 Enrollment ID: I20130909000118 |
| Provider Name | Fikre W Degefu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649402876 PECOS PAC ID: 3072764356 Enrollment ID: I20131126001553 |
| Provider Name | Maurice Jeter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558543447 PECOS PAC ID: 8729151758 Enrollment ID: I20131230001715 |
| Provider Name | David Gitlitz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174605323 PECOS PAC ID: 7012972847 Enrollment ID: I20140605001317 |
| Provider Name | Miriam B Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477565059 PECOS PAC ID: 2769546258 Enrollment ID: I20140723000880 |
| Provider Name | Sara A Vazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452045 PECOS PAC ID: 3072594910 Enrollment ID: I20140730001739 |
| Provider Name | Lane P Fodel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295026292 PECOS PAC ID: 6406016096 Enrollment ID: I20140930002400 |
| Provider Name | Kaitlin E Shapelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235559642 PECOS PAC ID: 9436379757 Enrollment ID: I20141008000205 |
| Provider Name | Elizabeth Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790121903 PECOS PAC ID: 9830319169 Enrollment ID: I20141008000978 |
| Provider Name | Lauren M Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134430473 PECOS PAC ID: 6406024843 Enrollment ID: I20150511000132 |
| Provider Name | Jennifer Massetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417277898 PECOS PAC ID: 2769642370 Enrollment ID: I20160201000863 |
| Provider Name | Edith Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972879864 PECOS PAC ID: 7113178906 Enrollment ID: I20160331000190 |
| Provider Name | Stacy Gwatura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952764854 PECOS PAC ID: 7214226315 Enrollment ID: I20160512001569 |
| Provider Name | Ellenor S Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235583014 PECOS PAC ID: 0345531851 Enrollment ID: I20160614001028 |
| Provider Name | Jacqueline Wisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295164911 PECOS PAC ID: 7618263302 Enrollment ID: I20160906002437 |
| Provider Name | Megan C Lilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427595651 PECOS PAC ID: 5496031262 Enrollment ID: I20170410001296 |
| Provider Name | Jeffrey Gerbino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407115348 PECOS PAC ID: 7214169978 Enrollment ID: I20170512000640 |
| Provider Name | Laura Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568903235 PECOS PAC ID: 6901173939 Enrollment ID: I20170523002591 |
| Provider Name | Sarah R Rosenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386069789 PECOS PAC ID: 1052623667 Enrollment ID: I20170714000099 |
| Provider Name | Evelyn K Ogendi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215467089 PECOS PAC ID: 8022389642 Enrollment ID: I20170801000009 |
| Provider Name | Kim Chi Quang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718837 PECOS PAC ID: 7012231947 Enrollment ID: I20171013001188 |
| Provider Name | Angela Longe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558483 PECOS PAC ID: 6608134267 Enrollment ID: I20180103002297 |
| Provider Name | Awawu Aramide Agbabiaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457870461 PECOS PAC ID: 6901165596 Enrollment ID: I20180104000836 |
| Provider Name | Martine Elaine Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275088163 PECOS PAC ID: 6507152337 Enrollment ID: I20180430000752 |
| Provider Name | Mary E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225418221 PECOS PAC ID: 9537478680 Enrollment ID: I20180507000314 |
| Provider Name | Rebecca Frances Gum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285137497 PECOS PAC ID: 0143574236 Enrollment ID: I20181107003325 |
| Provider Name | Sarasijhaa K Desikan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528402252 PECOS PAC ID: 2365755568 Enrollment ID: I20181115000014 |
| Provider Name | Kedija Hedara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154717601 PECOS PAC ID: 9537408687 Enrollment ID: I20190307000075 |
| Provider Name | Wei Li |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639475296 PECOS PAC ID: 8921241803 Enrollment ID: I20190311001339 |
| Provider Name | Tracy Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619281870 PECOS PAC ID: 8224378708 Enrollment ID: I20190320000420 |
| Provider Name | Onyinye Ugorji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487074324 PECOS PAC ID: 9335489582 Enrollment ID: I20190326000348 |
| Provider Name | Linda Richard Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730206459 PECOS PAC ID: 5698016830 Enrollment ID: I20190416001742 |
| Provider Name | Rachel Ondrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106674 PECOS PAC ID: 9638411176 Enrollment ID: I20190501003383 |
| Provider Name | Kate Lalancette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053884064 PECOS PAC ID: 2961745450 Enrollment ID: I20190524001596 |
| Provider Name | Joan Hershey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912346479 PECOS PAC ID: 7911233770 Enrollment ID: I20190731003081 |
| Provider Name | Natalie F Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679006977 PECOS PAC ID: 5193086783 Enrollment ID: I20190802002856 |
| Provider Name | Renay Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548327083 PECOS PAC ID: 8123294378 Enrollment ID: I20190814000081 |
| Provider Name | Albert N Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902290125 PECOS PAC ID: 3072811280 Enrollment ID: I20190827001199 |
| Provider Name | Natalia S Kubicki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578829636 PECOS PAC ID: 2668771890 Enrollment ID: I20190926002014 |
| Provider Name | Betsy L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565872 PECOS PAC ID: 1456784784 Enrollment ID: I20191127001147 |
| Provider Name | Mary O Cumming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548503790 PECOS PAC ID: 8527359827 Enrollment ID: I20200129000735 |
| Provider Name | Katherine Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942839709 PECOS PAC ID: 6406286061 Enrollment ID: I20200422001039 |
| Provider Name | Amber M Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700261161 PECOS PAC ID: 0749616746 Enrollment ID: I20200602002825 |
| Provider Name | Maria Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750917399 PECOS PAC ID: 6406278415 Enrollment ID: I20200622000106 |
| Provider Name | Richard Cooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861911687 PECOS PAC ID: 1658637715 Enrollment ID: I20200709000578 |
| Provider Name | Swati Chaparala |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942680483 PECOS PAC ID: 2860704871 Enrollment ID: I20200826003497 |
| Provider Name | Carolyn W Cokes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346603958 PECOS PAC ID: 1254678329 Enrollment ID: I20200916002201 |
| Provider Name | Danae N Dirocco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568824936 PECOS PAC ID: 3779878194 Enrollment ID: I20200930001207 |
| Provider Name | Ernest Njonkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447898143 PECOS PAC ID: 6608295340 Enrollment ID: I20200930001661 |
| Provider Name | William Mangana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861018848 PECOS PAC ID: 4981927688 Enrollment ID: I20201007002996 |
| Provider Name | Edwin Juma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781875 PECOS PAC ID: 8729498589 Enrollment ID: I20210210002428 |
| Provider Name | Temitope O Akinladenu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972147189 PECOS PAC ID: 3274963863 Enrollment ID: I20210416000322 |
| Provider Name | Crystal N Debeary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669064507 PECOS PAC ID: 5799184123 Enrollment ID: I20210604000592 |
| Provider Name | Melissa M Glee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336495688 PECOS PAC ID: 8123429149 Enrollment ID: I20210629000939 |
| Provider Name | Jennifer Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796543 PECOS PAC ID: 2466856935 Enrollment ID: I20210805000283 |
| Provider Name | Matthew Thomas Van Winkle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962933390 PECOS PAC ID: 2163797895 Enrollment ID: I20210817003807 |
| Provider Name | Gregory Burnett |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1679834592 PECOS PAC ID: 5496069239 Enrollment ID: I20210901000598 |
| Provider Name | Jeanwan Kang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134242258 PECOS PAC ID: 6709052699 Enrollment ID: I20211027003393 |
| Provider Name | Meredith Thivierge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952710873 PECOS PAC ID: 8022406859 Enrollment ID: I20211028001201 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20211110000069 |
| Provider Name | Ifunanya Kalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932606753 PECOS PAC ID: 9830595313 Enrollment ID: I20220518000419 |
| Provider Name | Qieron L Bowie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528670858 PECOS PAC ID: 4789063660 Enrollment ID: I20220623001520 |
| Provider Name | Opemipo Doyin Ogeyingbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033868153 PECOS PAC ID: 9537540869 Enrollment ID: I20220727003253 |
| Provider Name | Gregory Lalonde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629569587 PECOS PAC ID: 5092063693 Enrollment ID: I20220823003567 |
| Provider Name | Yolanda Kim Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821760893 PECOS PAC ID: 8527442995 Enrollment ID: I20220902000955 |
| Provider Name | Elvira Nguelewou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780350033 PECOS PAC ID: 7214303767 Enrollment ID: I20230118000333 |
| Provider Name | Sarah J Meadowcroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193209 PECOS PAC ID: 2860820586 Enrollment ID: I20230206001532 |
| Provider Name | Elizabeth Mccahill |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003529223 PECOS PAC ID: 4880066596 Enrollment ID: I20230215000051 |
| Provider Name | John D Flannery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417488610 PECOS PAC ID: 2860865037 Enrollment ID: I20230309000310 |
| Provider Name | Christelle Np Asu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689365702 PECOS PAC ID: 5991167496 Enrollment ID: I20230816000121 |
| Provider Name | Joel P Harding |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457887325 PECOS PAC ID: 2466825740 Enrollment ID: I20230920002866 |
| Provider Name | Kyoko Sembongi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861157414 PECOS PAC ID: 7416341789 Enrollment ID: I20231116003292 |
| Provider Name | Andrew W Tully |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811375983 PECOS PAC ID: 3375837917 Enrollment ID: I20231128000910 |
| Provider Name | Neeraj Badjatia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851336143 PECOS PAC ID: 0143257345 Enrollment ID: I20231214003576 |
| Provider Name | Ashkan Katirai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578329124 PECOS PAC ID: 0143762088 Enrollment ID: I20240607000205 |
| Provider Name | Armelle Madanje Tchayep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275163610 PECOS PAC ID: 0749605251 Enrollment ID: I20240614002348 |
| Provider Name | Clarise Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376305631 PECOS PAC ID: 7012451156 Enrollment ID: I20240731001510 |
| Provider Name | Nicholas Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861178667 PECOS PAC ID: 9739620733 Enrollment ID: I20240918000483 |
| Provider Name | Ericka Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629834973 PECOS PAC ID: 0840723235 Enrollment ID: I20241023003467 |
| Provider Name | Stefanie Rae Brocker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154002475 PECOS PAC ID: 3274056510 Enrollment ID: I20250327002836 |
Gbmc Health Partners At Helping Up Mission, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Solutions Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W University Pkwy Apt 425, Baltimore, MD 21210 Phone: 786-451-5184 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 | |
Maryland Medical First P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 Clement Ave, Baltimore, MD 21234 Phone: 410-661-4670 Fax: 410-661-4671 | |
Vijayalakshmi Reddy Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 N Eutaw St, Ste 312, Baltimore, MD 21201 Phone: 410-225-4455 Fax: 410-462-5079 |