| Maryland Proton Treatment Center | |
|
850 W Baltimore St Baltimore MD 21201-1110 | |
| (410) 369-5200 | |
| (410) 347-0870 |
| Full Name | Maryland Proton Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 W Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Shareef Mostafa Batata (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4103695223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Proton Treatment Center Po Box 65034 Baltimore MD 21264-5034 Ph: (410) 706-4919 | Maryland Proton Treatment Center 850 W Baltimore St Baltimore MD 21201-1110 Ph: (410) 369-5200 |
| NPI Number | 1255742375 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 02/25/2020 |
| Medicare PECOS PAC ID | 5597070524 |
|---|---|
| Medicare Enrollment ID | O20150819008188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255742375 | NPI | - | NPPES |
| Provider Name | Michelle M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538109954 PECOS PAC ID: 3375436850 Enrollment ID: I20040206000867 |
| Provider Name | Tiffani N Tyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609881382 PECOS PAC ID: 5092704163 Enrollment ID: I20040512000690 |
| Provider Name | Young Kwok |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215941901 PECOS PAC ID: 3375529662 Enrollment ID: I20040628000379 |
| Provider Name | Pradip P Amin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215961727 PECOS PAC ID: 6406825397 Enrollment ID: I20040928000522 |
| Provider Name | Gopal K Bajaj |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922063197 PECOS PAC ID: 2365471414 Enrollment ID: I20050809000342 |
| Provider Name | Ori Shokek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043226285 PECOS PAC ID: 6901802644 Enrollment ID: I20061019000581 |
| Provider Name | Wendla K Citron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477588846 PECOS PAC ID: 1951307602 Enrollment ID: I20061020000071 |
| Provider Name | Martha E. Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952348922 PECOS PAC ID: 8426017286 Enrollment ID: I20061026000272 |
| Provider Name | William F Regine |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104831957 PECOS PAC ID: 3274510987 Enrollment ID: I20081017000239 |
| Provider Name | Phuoc T Tran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376739037 PECOS PAC ID: 6608948682 Enrollment ID: I20090813000514 |
| Provider Name | John P Mastandrea |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518999697 PECOS PAC ID: 9931242583 Enrollment ID: I20100204000075 |
| Provider Name | Susan E Otremba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225248727 PECOS PAC ID: 6103969647 Enrollment ID: I20100205000005 |
| Provider Name | Luqman K Dad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013136886 PECOS PAC ID: 7214105733 Enrollment ID: I20110727000325 |
| Provider Name | Zeljko Vujaskovic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427132349 PECOS PAC ID: 6406837962 Enrollment ID: I20120914000054 |
| Provider Name | Minesh P. Mehta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558323519 PECOS PAC ID: 5890693972 Enrollment ID: I20121220000323 |
| Provider Name | Yun Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558614859 PECOS PAC ID: 9931353059 Enrollment ID: I20130125000144 |
| Provider Name | Mark V Mishra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790932630 PECOS PAC ID: 1951542950 Enrollment ID: I20130801000755 |
| Provider Name | Elizabeth M Nichols |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396903761 PECOS PAC ID: 1153555958 Enrollment ID: I20131010000866 |
| Provider Name | Pranshu Mohindra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336451921 PECOS PAC ID: 8628201258 Enrollment ID: I20140923002078 |
| Provider Name | Neha P Amin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619204534 PECOS PAC ID: 3577711241 Enrollment ID: I20150402001186 |
| Provider Name | Elizabeth B Guelde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811324585 PECOS PAC ID: 9234458860 Enrollment ID: I20150504001647 |
| Provider Name | Adeel Kaiser |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881883536 PECOS PAC ID: 7911067020 Enrollment ID: I20150812007230 |
| Provider Name | Erica Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700177110 PECOS PAC ID: 4284941360 Enrollment ID: I20150922002745 |
| Provider Name | Yolanda V Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578956330 PECOS PAC ID: 6800104159 Enrollment ID: I20151006001712 |
| Provider Name | Dan K Kunaprayoon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043449762 PECOS PAC ID: 7810137619 Enrollment ID: I20151230000274 |
| Provider Name | Katarina Joy Steacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225284383 PECOS PAC ID: 7214092204 Enrollment ID: I20160113000030 |
| Provider Name | Anatoly Dritschilo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285626010 PECOS PAC ID: 4183638547 Enrollment ID: I20160602000271 |
| Provider Name | Keith Robert Unger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205077781 PECOS PAC ID: 5193903854 Enrollment ID: I20160602001072 |
| Provider Name | Manuj Agarwal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316262363 PECOS PAC ID: 9335451855 Enrollment ID: I20160921001133 |
| Provider Name | Charles B Simone |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225334865 PECOS PAC ID: 2567632672 Enrollment ID: I20161012002593 |
| Provider Name | Akshar N Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902199391 PECOS PAC ID: 2567752900 Enrollment ID: I20161013002018 |
| Provider Name | Reena Kamath Pramanik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053479790 PECOS PAC ID: 2365443363 Enrollment ID: I20161021000717 |
| Provider Name | Sonali Rudra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629207824 PECOS PAC ID: 6901048297 Enrollment ID: I20170125002006 |
| Provider Name | Samir P Kanani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558336719 PECOS PAC ID: 1951360205 Enrollment ID: I20170130000729 |
| Provider Name | Michael Joseph Eblan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962795773 PECOS PAC ID: 0345464590 Enrollment ID: I20170227002016 |
| Provider Name | Kamila Anna Nowak Choi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467719740 PECOS PAC ID: 1557594017 Enrollment ID: I20170616001813 |
| Provider Name | Arpit Chhabra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396006599 PECOS PAC ID: 2668770843 Enrollment ID: I20170811000742 |
| Provider Name | James William Snider |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295092351 PECOS PAC ID: 4284933821 Enrollment ID: I20170925002462 |
| Provider Name | Kevin Soohyung Choe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609043892 PECOS PAC ID: 3870785215 Enrollment ID: I20171016002184 |
| Provider Name | Sarah A Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134643539 PECOS PAC ID: 6901164490 Enrollment ID: I20171209000340 |
| Provider Name | Jehee Isabelle Choi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619260056 PECOS PAC ID: 9931425808 Enrollment ID: I20180525001239 |
| Provider Name | Jason Molitoris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265876973 PECOS PAC ID: 2365682366 Enrollment ID: I20180719001270 |
| Provider Name | Ankur Markand Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649757006 PECOS PAC ID: 3274887138 Enrollment ID: I20181112001597 |
| Provider Name | Sarah Anne Mcavoy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144549015 PECOS PAC ID: 7113234006 Enrollment ID: I20181129003343 |
| Provider Name | Robert C Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114904430 PECOS PAC ID: 5193713824 Enrollment ID: I20190418000406 |
| Provider Name | Avani Dholakia Rao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295006567 PECOS PAC ID: 9032332242 Enrollment ID: I20190801001330 |
| Provider Name | Matthew Jeffrey Ferris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265851323 PECOS PAC ID: 3274835178 Enrollment ID: I20190919000324 |
| Provider Name | Melissa Ana Liriano Vyfhuis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801214689 PECOS PAC ID: 9234438300 Enrollment ID: I20191008002615 |
| Provider Name | Sarah Elizabeth Ruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306498324 PECOS PAC ID: 6507197191 Enrollment ID: I20191014000171 |
| Provider Name | Matthew Witek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154651727 PECOS PAC ID: 9234353509 Enrollment ID: I20191116000189 |
| Provider Name | Emily S Kowalski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376939017 PECOS PAC ID: 8123314630 Enrollment ID: I20200908000796 |
| Provider Name | Nicola Nasser |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023548831 PECOS PAC ID: 4183042161 Enrollment ID: I20200909000539 |
| Provider Name | Zaker H Rana |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104213578 PECOS PAC ID: 8426302852 Enrollment ID: I20201112002692 |
| Provider Name | Rashmi Benda |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750334769 PECOS PAC ID: 8820057284 Enrollment ID: I20230217000920 |
| Provider Name | Srini Vasan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376541649 PECOS PAC ID: 6901877893 Enrollment ID: I20230220002269 |
Empowerment Healthcare Systems,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 108b, Baltimore, MD 21237 Phone: 410-698-8284 Fax: 410-321-1962 | |
Fresh Start Comprehensive Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 E Mount Royal Ave # Ll, Baltimore, MD 21202 Phone: 443-671-1414 Fax: 443-671-1420 | |
Gbmc Health Partners At Jonestown Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Admin Location Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 E Monument St Ste 2626, Baltimore, MD 21287 Phone: 410-933-6430 | |
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 |