| Grace Medical Center - Family Health & Wellness | |
|
2000 W Baltimore St Ste 3200 Baltimore MD 21223-1558 | |
| (410) 362-3000 | |
| Not Available |
| Full Name | Grace Medical Center - Family Health & Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 W Baltimore St Ste 3200, Baltimore, Maryland |
| Authorized Official Name and Position | Rebecca A Altman (VP) |
| Authorized Official Contact | 4439241856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Center - Family Health & Wellness 2000 W Baltimore St # 3200 Baltimore MD 21223-1558 Ph: (410) 362-3000 | Grace Medical Center - Family Health & Wellness 2000 W Baltimore St Ste 3200 Baltimore MD 21223-1558 Ph: (410) 362-3000 |
| NPI Number | 1801135439 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 0446216832 |
|---|---|
| Medicare Enrollment ID | O20131125000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801135439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott D Krugman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790754612 PECOS PAC ID: 0749271625 Enrollment ID: I20040519001557 |
| Provider Name | Mohan N Amlani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720068968 PECOS PAC ID: 8628070109 Enrollment ID: I20070213000361 |
| Provider Name | Yasmeen G Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275559445 PECOS PAC ID: 9234120833 Enrollment ID: I20070226000550 |
| Provider Name | Mohamed Dauda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124210026 PECOS PAC ID: 4183719628 Enrollment ID: I20130820000175 |
| Provider Name | Christa Bay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285886408 PECOS PAC ID: 4688982952 Enrollment ID: I20151006002746 |
| Provider Name | Felicia D Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801365101 PECOS PAC ID: 0244578987 Enrollment ID: I20190205002077 |
| Provider Name | Elizabeth M Zadzielski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922101039 PECOS PAC ID: 9032179197 Enrollment ID: I20190320000370 |
| Provider Name | Dominique Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649743972 PECOS PAC ID: 4688917289 Enrollment ID: I20190523000088 |
| Provider Name | Helen I Scott Bayley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316599145 PECOS PAC ID: 7618204611 Enrollment ID: I20190814001936 |
| Provider Name | Ladonna Theresa Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184324626 PECOS PAC ID: 6507226107 Enrollment ID: I20230713004171 |
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