| Bms@yard56 | |
|
5525 Eastern Ave Ste 201 Baltimore MD 21224-2796 | |
| (410) 558-4084 | |
| Not Available |
| Full Name | Bms@yard56 |
|---|---|
| Speciality | Clinic/Center |
| Location | 5525 Eastern Ave Ste 201, Baltimore, Maryland |
| Authorized Official Name and Position | Shirley Sutton (PRESIDENT/CEO) |
| Authorized Official Contact | 4105584891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bms@yard56 5525 Eastern Ave Ste 301 Baltimore MD 21224-2796 Ph: (410) 558-4804 | Bms@yard56 5525 Eastern Ave Ste 201 Baltimore MD 21224-2796 Ph: (410) 558-4084 |
| NPI Number | 1164138152 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5395653455 |
|---|---|
| Medicare Enrollment ID | O20031121000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164138152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Amal Awadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366530651 PECOS PAC ID: 3971417015 Enrollment ID: I20031113000652 |
| Provider Name | Fawn T Manning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568457513 PECOS PAC ID: 4486649654 Enrollment ID: I20040416001325 |
| Provider Name | Frances M Green Su |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609875731 PECOS PAC ID: 8628068707 Enrollment ID: I20040512001548 |
| Provider Name | Leonard S Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851333066 PECOS PAC ID: 8729066956 Enrollment ID: I20040713000553 |
| Provider Name | Amy L Leitzel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689670325 PECOS PAC ID: 9931162195 Enrollment ID: I20041109000197 |
| Provider Name | Lauren Jansson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801843057 PECOS PAC ID: 8022076504 Enrollment ID: I20041230000155 |
| Provider Name | Deborah A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750375366 PECOS PAC ID: 0042278194 Enrollment ID: I20041230000198 |
| Provider Name | Michael P Vietz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194859108 PECOS PAC ID: 3577504075 Enrollment ID: I20050516000145 |
| Provider Name | Tara Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225089337 PECOS PAC ID: 6204863277 Enrollment ID: I20050721000073 |
| Provider Name | Colleen M Leavitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528042959 PECOS PAC ID: 8022098524 Enrollment ID: I20050804000869 |
| Provider Name | Martha D Mueller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811940570 PECOS PAC ID: 1759311384 Enrollment ID: I20050815000097 |
| Provider Name | Deborah A Som |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740289958 PECOS PAC ID: 7719918952 Enrollment ID: I20050826000503 |
| Provider Name | Emily J Sippel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306983192 PECOS PAC ID: 6002919321 Enrollment ID: I20070307000119 |
| Provider Name | Sarah Polk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548301088 PECOS PAC ID: 0345331336 Enrollment ID: I20070806000342 |
| Provider Name | Seema A Gadiwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477643013 PECOS PAC ID: 4688747827 Enrollment ID: I20080918000635 |
| Provider Name | Ayaz Mahmood Haroon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558383406 PECOS PAC ID: 7517935067 Enrollment ID: I20080923000293 |
| Provider Name | Anika Alvanzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184641870 PECOS PAC ID: 5496827230 Enrollment ID: I20081023000619 |
| Provider Name | Rachelle Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669478335 PECOS PAC ID: 0244388460 Enrollment ID: I20090428000252 |
| Provider Name | Ernest M Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144272907 PECOS PAC ID: 9436229838 Enrollment ID: I20090511000501 |
| Provider Name | Sara K Rankin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790817252 PECOS PAC ID: 1153475421 Enrollment ID: I20090820000693 |
| Provider Name | James Petit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023277951 PECOS PAC ID: 4688720758 Enrollment ID: I20090915000785 |
| Provider Name | Jacqueline M G Wallace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912945155 PECOS PAC ID: 2264403237 Enrollment ID: I20091104000409 |
| Provider Name | Carissa J Guishard Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801055033 PECOS PAC ID: 8325186992 Enrollment ID: I20091119000232 |
| Provider Name | Angela J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538182027 PECOS PAC ID: 1759317688 Enrollment ID: I20100114000309 |
| Provider Name | Donna Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568414506 PECOS PAC ID: 9032249578 Enrollment ID: I20100610000396 |
| Provider Name | Erica M Sibinga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952339566 PECOS PAC ID: 9739210865 Enrollment ID: I20100706000230 |
| Provider Name | Erika Rose Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730169442 PECOS PAC ID: 2860516283 Enrollment ID: I20100907000887 |
| Provider Name | Bernice Horton-gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821040940 PECOS PAC ID: 4284826157 Enrollment ID: I20101011000440 |
| Provider Name | Colleen E Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134449077 PECOS PAC ID: 5193918241 Enrollment ID: I20101021000109 |
| Provider Name | Anne Elizabeth Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831157320 PECOS PAC ID: 1658565189 Enrollment ID: I20101028001328 |
| Provider Name | Jennifer A Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285897058 PECOS PAC ID: 1153515580 Enrollment ID: I20101029001216 |
| Provider Name | Erica C Isles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831197110 PECOS PAC ID: 7416142518 Enrollment ID: I20101115001152 |
| Provider Name | Michael T Lawrence |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841362969 PECOS PAC ID: 8921294984 Enrollment ID: I20101202000386 |
| Provider Name | Sharon E Gaines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952405128 PECOS PAC ID: 6901092980 Enrollment ID: I20101202000683 |
| Provider Name | Hermon W Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043314214 PECOS PAC ID: 4183811177 Enrollment ID: I20101202000982 |
| Provider Name | Raymond Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233412 PECOS PAC ID: 8527255587 Enrollment ID: I20101203000451 |
| Provider Name | Lorraine Anne Milio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891744405 PECOS PAC ID: 1658569728 Enrollment ID: I20101216000664 |
| Provider Name | Ana E Maldonado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689670937 PECOS PAC ID: 9830388040 Enrollment ID: I20110104000589 |
| Provider Name | Donald E Garland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184624884 PECOS PAC ID: 0345439154 Enrollment ID: I20110110000808 |
| Provider Name | Douglas M Bourque |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427054907 PECOS PAC ID: 6103015946 Enrollment ID: I20110111000232 |
| Provider Name | Rosemary Amofah Dayie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801960836 PECOS PAC ID: 3870782543 Enrollment ID: I20110111000703 |
| Provider Name | Liliana N Manfredi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871598383 PECOS PAC ID: 3476742883 Enrollment ID: I20110114000684 |
| Provider Name | Meghan E Greeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174826648 PECOS PAC ID: 1759564446 Enrollment ID: I20110317000344 |
| Provider Name | Jeanne M Murphy-stone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073503439 PECOS PAC ID: 1850386467 Enrollment ID: I20110407000446 |
| Provider Name | Silka Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376832543 PECOS PAC ID: 3971773912 Enrollment ID: I20110830000160 |
| Provider Name | Jill Edwardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164620456 PECOS PAC ID: 8921279407 Enrollment ID: I20110913000459 |
| Provider Name | Joann Bodurtha |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1336225028 PECOS PAC ID: 8022150226 Enrollment ID: I20111031000544 |
| Provider Name | David W Dowdy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619202173 PECOS PAC ID: 3072788512 Enrollment ID: I20111212000088 |
| Provider Name | Devi Chakravorty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457568412 PECOS PAC ID: 9436238615 Enrollment ID: I20120413000478 |
| Provider Name | Maria Khanuja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134493612 PECOS PAC ID: 1254593627 Enrollment ID: I20120501000260 |
| Provider Name | Jeremy Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013052695 PECOS PAC ID: 9436224318 Enrollment ID: I20121018000461 |
| Provider Name | Priya S Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740511468 PECOS PAC ID: 7012168909 Enrollment ID: I20121128000058 |
| Provider Name | David S Blitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528094638 PECOS PAC ID: 0143475111 Enrollment ID: I20130222000192 |
| Provider Name | Nita V Shanbhag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871651869 PECOS PAC ID: 3072520584 Enrollment ID: I20131231001298 |
| Provider Name | Ashley Zinalabedini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346678992 PECOS PAC ID: 2466682828 Enrollment ID: I20140304000574 |
| Provider Name | Benhur B Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285824284 PECOS PAC ID: 2365567641 Enrollment ID: I20140725000846 |
| Provider Name | Alyssa Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417136276 PECOS PAC ID: 7911179296 Enrollment ID: I20140811000012 |
| Provider Name | Dana Marcel Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548251671 PECOS PAC ID: 8628043239 Enrollment ID: I20140814000357 |
| Provider Name | Jamelah A Terry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598959199 PECOS PAC ID: 1355569104 Enrollment ID: I20140820001707 |
| Provider Name | Tania Maria Caballero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669796454 PECOS PAC ID: 5890938286 Enrollment ID: I20140828001523 |
| Provider Name | Maya Venkataramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710121694 PECOS PAC ID: 8820236094 Enrollment ID: I20140908000956 |
| Provider Name | Carolyn Sufrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285761783 PECOS PAC ID: 7315032935 Enrollment ID: I20140918000748 |
| Provider Name | Monica Clare Mix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053639831 PECOS PAC ID: 4082864178 Enrollment ID: I20140925001647 |
| Provider Name | Arlene V Tyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992930598 PECOS PAC ID: 6002039799 Enrollment ID: I20141016002484 |
| Provider Name | Sara Mixter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386961274 PECOS PAC ID: 8426209792 Enrollment ID: I20141031001083 |
| Provider Name | Lisa Angeline Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841239985 PECOS PAC ID: 1951624071 Enrollment ID: I20141222001726 |
| Provider Name | Edith R M Dietz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437489531 PECOS PAC ID: 8527219922 Enrollment ID: I20150303001436 |
| Provider Name | Mary Mcclure |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225454879 PECOS PAC ID: 9931427671 Enrollment ID: I20150409001429 |
| Provider Name | Rachel Kruzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689930976 PECOS PAC ID: 0547410169 Enrollment ID: I20150707000226 |
| Provider Name | Sarah Proett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053701870 PECOS PAC ID: 7416269105 Enrollment ID: I20150709000832 |
| Provider Name | Meredith Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912673 PECOS PAC ID: 7012221294 Enrollment ID: I20150731015829 |
| Provider Name | Anna Catherine Lamasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992116685 PECOS PAC ID: 9335454727 Enrollment ID: I20150813011410 |
| Provider Name | Stephen Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528357399 PECOS PAC ID: 1254576853 Enrollment ID: I20150820011853 |
| Provider Name | Antonio A Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619255148 PECOS PAC ID: 2769625334 Enrollment ID: I20150824001004 |
| Provider Name | Ejikeme U Nwokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457304396 PECOS PAC ID: 3375554470 Enrollment ID: I20150827001439 |
| Provider Name | Katherine Shaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194014563 PECOS PAC ID: 5395995955 Enrollment ID: I20150903000100 |
| Provider Name | Laura Elizabeth Gertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766879 PECOS PAC ID: 1850608209 Enrollment ID: I20150916003212 |
| Provider Name | Angeline K Motari Mokaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304977 PECOS PAC ID: 2466753413 Enrollment ID: I20151216000247 |
| Provider Name | Jeanne Sheffield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568429926 PECOS PAC ID: 4284760620 Enrollment ID: I20160204002322 |
| Provider Name | Latoya N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750746178 PECOS PAC ID: 0648574558 Enrollment ID: I20160212000664 |
| Provider Name | Adi Lazary-dagan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275860728 PECOS PAC ID: 9638474083 Enrollment ID: I20160223000280 |
| Provider Name | Colleen M Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255627469 PECOS PAC ID: 3971801895 Enrollment ID: I20160411000194 |
| Provider Name | Sher B Limbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982853974 PECOS PAC ID: 9234307794 Enrollment ID: I20160712002281 |
| Provider Name | Berendena Vander Tuig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558627976 PECOS PAC ID: 0941453351 Enrollment ID: I20160809000958 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124436399 PECOS PAC ID: 2062708829 Enrollment ID: I20160906000884 |
| Provider Name | Mostafa Borahay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447445945 PECOS PAC ID: 2466585278 Enrollment ID: I20160907001624 |
| Provider Name | Oluwatope Alaofin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871650960 PECOS PAC ID: 0143506147 Enrollment ID: I20170405001450 |
| Provider Name | Linda S Rainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366618597 PECOS PAC ID: 0446205165 Enrollment ID: I20170630000743 |
| Provider Name | Harry Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134483860 PECOS PAC ID: 4981841061 Enrollment ID: I20170707000146 |
| Provider Name | Candice Nalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639412521 PECOS PAC ID: 4183860893 Enrollment ID: I20171020000353 |
| Provider Name | Candy V Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497137269 PECOS PAC ID: 6507170289 Enrollment ID: I20180322000639 |
| Provider Name | Sailu Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104200906 PECOS PAC ID: 8325345242 Enrollment ID: I20180622000608 |
| Provider Name | Golsa Mirmiran Yazdy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023438850 PECOS PAC ID: 9931458114 Enrollment ID: I20180821002874 |
| Provider Name | Bhabi Raj Rai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356609069 PECOS PAC ID: 0345490751 Enrollment ID: I20180910000676 |
| Provider Name | Motunrayo Dipeolu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265925580 PECOS PAC ID: 2365793015 Enrollment ID: I20180919004040 |
| Provider Name | Cecilia Marietta Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255807160 PECOS PAC ID: 6406191113 Enrollment ID: I20181228001170 |
| Provider Name | Angela L Ferrari-walczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235605684 PECOS PAC ID: 4587900568 Enrollment ID: I20190111002014 |
| Provider Name | Krista Marie Colopinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861848798 PECOS PAC ID: 1850684598 Enrollment ID: I20190326000973 |
| Provider Name | Azuka A Olele |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992166532 PECOS PAC ID: 3678871688 Enrollment ID: I20190430000160 |
| Provider Name | Stella Chizoba Okoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013436534 PECOS PAC ID: 9335472612 Enrollment ID: I20190603000126 |
| Provider Name | Jordan Nahas-vigon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381348 PECOS PAC ID: 3779872965 Enrollment ID: I20190806000565 |
| Provider Name | Jesse Lee Mcdermeit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912360454 PECOS PAC ID: 3173821899 Enrollment ID: I20190829001430 |
| Provider Name | Megan Hyle Decapite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215134796 PECOS PAC ID: 1456477256 Enrollment ID: I20191015000461 |
| Provider Name | Rashida Khadijah Nesbit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124676952 PECOS PAC ID: 6901239953 Enrollment ID: I20191204002406 |
| Provider Name | Simone Spencer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174521256 PECOS PAC ID: 1951327014 Enrollment ID: I20191211001065 |
| Provider Name | Corris Archer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073611513 PECOS PAC ID: 4880604701 Enrollment ID: I20200226000330 |
| Provider Name | Titilope Oduyebo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962643973 PECOS PAC ID: 4981862083 Enrollment ID: I20200408000390 |
| Provider Name | Brittany Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649899287 PECOS PAC ID: 0840621975 Enrollment ID: I20200505002545 |
| Provider Name | Nelson Maniscalco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225489339 PECOS PAC ID: 9830513159 Enrollment ID: I20200721000032 |
| Provider Name | Meghan Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811350820 PECOS PAC ID: 4789971987 Enrollment ID: I20200910000141 |
| Provider Name | Amil M Qureshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174555130 PECOS PAC ID: 9234377656 Enrollment ID: I20201125000210 |
| Provider Name | Jessica Ratner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255793675 PECOS PAC ID: 4385941574 Enrollment ID: I20210121000269 |
| Provider Name | Haimanot Mulat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740889609 PECOS PAC ID: 9335554377 Enrollment ID: I20210603002856 |
| Provider Name | Keith Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518352590 PECOS PAC ID: 0547562886 Enrollment ID: I20210709000820 |
| Provider Name | Brian Wildey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578754388 PECOS PAC ID: 5395833487 Enrollment ID: I20210721000519 |
| Provider Name | Laura Austen Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891167607 PECOS PAC ID: 3577861939 Enrollment ID: I20210721002110 |
| Provider Name | Shannon Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144204405 PECOS PAC ID: 8729079850 Enrollment ID: I20210816000135 |
| Provider Name | Naomi Eve Berkenbilt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659843191 PECOS PAC ID: 3577968635 Enrollment ID: I20210827000592 |
| Provider Name | Mary Elise Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265963615 PECOS PAC ID: 4981975737 Enrollment ID: I20210903000022 |
| Provider Name | Yesenia Eisenhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861065088 PECOS PAC ID: 3971992876 Enrollment ID: I20211116000039 |
| Provider Name | Xiomara Penn-becoat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629481023 PECOS PAC ID: 2365739893 Enrollment ID: I20211116003293 |
| Provider Name | Dimitri Coupet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649698200 PECOS PAC ID: 2365744620 Enrollment ID: I20211130002976 |
| Provider Name | Sylvanus Brenya Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528731528 PECOS PAC ID: 7315337425 Enrollment ID: I20211203002049 |
| Provider Name | Kevin Klembczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063943983 PECOS PAC ID: 9931477338 Enrollment ID: I20220120000309 |
| Provider Name | Adetola O Oyekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255962510 PECOS PAC ID: 6901290444 Enrollment ID: I20220228001871 |
| Provider Name | Jillian Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144822529 PECOS PAC ID: 1759795412 Enrollment ID: I20220411000535 |
| Provider Name | Saidat Sola-rufai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144780396 PECOS PAC ID: 7214261387 Enrollment ID: I20220622002822 |
| Provider Name | Mary Elizabeth Shorey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205330891 PECOS PAC ID: 2062757180 Enrollment ID: I20220727003261 |
| Provider Name | Hayley Thea Sparks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164887006 PECOS PAC ID: 5496137473 Enrollment ID: I20220808002235 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578645156 PECOS PAC ID: 9436256005 Enrollment ID: I20220808002952 |
| Provider Name | Kristin Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033590104 PECOS PAC ID: 7214249432 Enrollment ID: I20220816000851 |
| Provider Name | Phillip Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548722481 PECOS PAC ID: 9931433851 Enrollment ID: I20220822003615 |
| Provider Name | Rachel Purser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982333233 PECOS PAC ID: 5294119988 Enrollment ID: I20220830000450 |
| Provider Name | Jasmine Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275143463 PECOS PAC ID: 2567872179 Enrollment ID: I20221028001055 |
| Provider Name | Melissa Siedschlag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093976516 PECOS PAC ID: 5890937254 Enrollment ID: I20221226000199 |
| Provider Name | Sarah Musa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124777230 PECOS PAC ID: 9830561414 Enrollment ID: I20230208000180 |
| Provider Name | Jessica Lawson Goldberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699405787 PECOS PAC ID: 7911379086 Enrollment ID: I20230218000469 |
| Provider Name | Bernard Amalimeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760194112 PECOS PAC ID: 3274999008 Enrollment ID: I20230519001679 |
| Provider Name | Randal Cieslak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790168300 PECOS PAC ID: 3072933415 Enrollment ID: I20230524000331 |
| Provider Name | Lindsay Claire Sheets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194388322 PECOS PAC ID: 5395070072 Enrollment ID: I20230531003705 |
| Provider Name | Shannon Osborne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730746280 PECOS PAC ID: 4981932944 Enrollment ID: I20230821000283 |
| Provider Name | Alexandra Marie Abbate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194287003 PECOS PAC ID: 7911360953 Enrollment ID: I20230824000547 |
| Provider Name | Yasamin Ege Sanii |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770110702 PECOS PAC ID: 7012370950 Enrollment ID: I20230825000841 |
| Provider Name | Vadim Loshakov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003815721 PECOS PAC ID: 7416913793 Enrollment ID: I20230908003669 |
| Provider Name | Scott Merrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730640756 PECOS PAC ID: 2264767797 Enrollment ID: I20230915002962 |
| Provider Name | Ashwini Javlekar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992264014 PECOS PAC ID: 3274876016 Enrollment ID: I20230927001729 |
| Provider Name | Soffia Jonsdottir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144262411 PECOS PAC ID: 7315917721 Enrollment ID: I20231010000584 |
| Provider Name | Rebekah A Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356024889 PECOS PAC ID: 1254786981 Enrollment ID: I20231016001136 |
| Provider Name | Patrick Fiero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396711974 PECOS PAC ID: 1456378736 Enrollment ID: I20231018001749 |
| Provider Name | Anuoluwapo Alakija |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609303981 PECOS PAC ID: 9335485234 Enrollment ID: I20231029000083 |
| Provider Name | Fatima H Abdo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477047207 PECOS PAC ID: 6204185911 Enrollment ID: I20240129004047 |
| Provider Name | Jay Malvin Reyes Tia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942817317 PECOS PAC ID: 4688018849 Enrollment ID: I20240215004284 |
| Provider Name | Titilayo Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720732423 PECOS PAC ID: 9830586148 Enrollment ID: I20240306001995 |
| Provider Name | Timothy Jack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891949723 PECOS PAC ID: 1658691027 Enrollment ID: I20240417003453 |
| Provider Name | Marina Eryn Mizell Golden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740866573 PECOS PAC ID: 1254772007 Enrollment ID: I20240510003414 |
Empowerment Healthcare Systems,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 108b, Baltimore, MD 21237 Phone: 410-321-1961 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 |