| Jhu -neurology | |
|
600 N Wolfe St Baltimore MD 21287-0005 | |
| (410) 933-1329 | |
| Not Available |
| Full Name | Jhu -neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu -neurology Po Box 64227 Baltimore MD 21264-4227 Ph: (410) 933-6423 | Jhu -neurology 600 N Wolfe St Baltimore MD 21287-0005 Ph: (410) 933-1329 |
| NPI Number | 1356346100 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 07/21/2022 |
| Certification Date | 03/07/2021 |
| Medicare PECOS PAC ID | 4981745098 |
|---|---|
| Medicare Enrollment ID | O20150624002277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356346100 | NPI | - | NPPES |
| CC8404 | Other | MD | RRMC |
| 132861100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Maryland) | Primary |
| Provider Name | Kelly Mills |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083867055 PECOS PAC ID: 3072775949 Enrollment ID: I20150625000290 |
| Provider Name | Bardia Nourbakhsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760709976 PECOS PAC ID: 2466676986 Enrollment ID: I20170302000514 |
| Provider Name | Ricardo Horacio Roda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396897898 PECOS PAC ID: 8325279730 Enrollment ID: I20180413000346 |
| Provider Name | Daniel R Gold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487889820 PECOS PAC ID: 0244474484 Enrollment ID: I20191120000047 |
| Provider Name | Anne Damian Yacoub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134672918 PECOS PAC ID: 5193019396 Enrollment ID: I20201012002429 |
| Provider Name | Dian Grandison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083137970 PECOS PAC ID: 6305255241 Enrollment ID: I20210607001218 |
| Provider Name | David Newman-toker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073566873 PECOS PAC ID: 5395984207 Enrollment ID: I20231013000687 |
| Provider Name | Rachel Marie Salas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407900210 PECOS PAC ID: 2769555853 Enrollment ID: I20240517000269 |
| Provider Name | Sara Benjamin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336161447 PECOS PAC ID: 1355343047 Enrollment ID: I20240611000985 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |