| Chase Brexton Health Care | |
|
1111 North Charles Street Baltimore MD 21201-5505 | |
| (410) 837-2050 | |
| (410) 752-1374 |
| Full Name | Chase Brexton Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 North Charles Street, Baltimore, Maryland |
| Authorized Official Name and Position | Kyle Easton (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 4108372050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Brexton Health Care 1111 North Charles Street Baltimore MD 21201 Ph: (410) 837-2050 | Chase Brexton Health Care 1111 North Charles Street Baltimore MD 21201-5505 Ph: (410) 837-2050 |
| NPI Number | 1588606305 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 02/24/2020 |
| Medicare PECOS PAC ID | 5395644835 |
|---|---|
| Medicare Enrollment ID | O20040512000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588606305 | NPI | - | NPPES |
| 132190100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jenifer O Fahey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538197017 PECOS PAC ID: 4789674771 Enrollment ID: I20040512001660 |
| Provider Name | Alissa Won |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023000866 PECOS PAC ID: 5890747547 Enrollment ID: I20050210000838 |
| Provider Name | Stephanie Saunders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295873115 PECOS PAC ID: 5799881504 Enrollment ID: I20070510000247 |
| Provider Name | Eunice B Woodus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502108 PECOS PAC ID: 6507965506 Enrollment ID: I20070615000146 |
| Provider Name | Dhimitri E Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750321220 PECOS PAC ID: 2466499520 Enrollment ID: I20070906000822 |
| Provider Name | Cesar Augusto Arias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457416117 PECOS PAC ID: 1951364751 Enrollment ID: I20100406000191 |
| Provider Name | Judy B Davidoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396781712 PECOS PAC ID: 2264560747 Enrollment ID: I20100504000021 |
| Provider Name | Andrea E Speedie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760632079 PECOS PAC ID: 1951426287 Enrollment ID: I20100910000080 |
| Provider Name | Risa D Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174566509 PECOS PAC ID: 8628138070 Enrollment ID: I20110106000079 |
| Provider Name | Santhia A Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851509012 PECOS PAC ID: 5294915914 Enrollment ID: I20110211000458 |
| Provider Name | Mary C Drennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174756761 PECOS PAC ID: 0840475679 Enrollment ID: I20110421000096 |
| Provider Name | Elyse D Pine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861606378 PECOS PAC ID: 3779753793 Enrollment ID: I20110831000296 |
| Provider Name | Sarah L Connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679728349 PECOS PAC ID: 1658544762 Enrollment ID: I20111107000431 |
| Provider Name | Nina N Arulefela |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851425722 PECOS PAC ID: 4385743632 Enrollment ID: I20120119000484 |
| Provider Name | Caroline Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417205766 PECOS PAC ID: 4082863535 Enrollment ID: I20120927000525 |
| Provider Name | Niemah L Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912023482 PECOS PAC ID: 8022180785 Enrollment ID: I20121102000486 |
| Provider Name | Friba Faqeeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861544785 PECOS PAC ID: 0446390090 Enrollment ID: I20130621000072 |
| Provider Name | Jonathon J Hennessee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972814192 PECOS PAC ID: 0446494389 Enrollment ID: I20130917000014 |
| Provider Name | Sebastian Ruhs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962668285 PECOS PAC ID: 9032343173 Enrollment ID: I20131003000552 |
| Provider Name | Yugenia K Hong-nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760690663 PECOS PAC ID: 2264665827 Enrollment ID: I20140506001057 |
| Provider Name | Rashawn T Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801214291 PECOS PAC ID: 6305062159 Enrollment ID: I20140731000370 |
| Provider Name | Sarah V Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720364888 PECOS PAC ID: 3375717754 Enrollment ID: I20140813001580 |
| Provider Name | Janine Michaelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275847493 PECOS PAC ID: 6305064213 Enrollment ID: I20140905000769 |
| Provider Name | Dana A Rader |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497037287 PECOS PAC ID: 6507884269 Enrollment ID: I20140916002306 |
| Provider Name | Teresa R Vlahovich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659707404 PECOS PAC ID: 2769602853 Enrollment ID: I20141014000529 |
| Provider Name | Ifeanyi F Oduah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730589433 PECOS PAC ID: 3779704085 Enrollment ID: I20141030000122 |
| Provider Name | Anastasios Tsiolakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430705 PECOS PAC ID: 3678795655 Enrollment ID: I20150113001174 |
| Provider Name | Hayley Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376945410 PECOS PAC ID: 3971828682 Enrollment ID: I20150220000433 |
| Provider Name | Rachel E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942566831 PECOS PAC ID: 7618295999 Enrollment ID: I20150416002058 |
| Provider Name | Yael Eskinazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457641284 PECOS PAC ID: 5294965422 Enrollment ID: I20150430001327 |
| Provider Name | Rebecca Madeleine Pfender |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093089799 PECOS PAC ID: 0840452611 Enrollment ID: I20150505000359 |
| Provider Name | Alfredo Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659793388 PECOS PAC ID: 4082927066 Enrollment ID: I20150720002696 |
| Provider Name | Paula Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366847923 PECOS PAC ID: 6103133129 Enrollment ID: I20150923001326 |
| Provider Name | Christin M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407114259 PECOS PAC ID: 3476875923 Enrollment ID: I20151125001312 |
| Provider Name | Raymona K Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790834646 PECOS PAC ID: 6002117942 Enrollment ID: I20151217001165 |
| Provider Name | Janine G Luber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093052714 PECOS PAC ID: 8921301383 Enrollment ID: I20160120000347 |
| Provider Name | Jemel E Johnson Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710275839 PECOS PAC ID: 2567767114 Enrollment ID: I20160219001469 |
| Provider Name | Meghann R Mulherin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164808218 PECOS PAC ID: 0042516338 Enrollment ID: I20160314000365 |
| Provider Name | John W Spann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316349798 PECOS PAC ID: 3678871530 Enrollment ID: I20160411001365 |
| Provider Name | Tiffany K Spaulding Wrona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427399120 PECOS PAC ID: 9032408984 Enrollment ID: I20160516001413 |
| Provider Name | Richelle Joanne Cricks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144504390 PECOS PAC ID: 9335313402 Enrollment ID: I20160517002593 |
| Provider Name | Colleen H Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154772200 PECOS PAC ID: 7214223742 Enrollment ID: I20160909001783 |
| Provider Name | Kelli Teresa Harkless |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700239993 PECOS PAC ID: 5092001305 Enrollment ID: I20160913002705 |
| Provider Name | Rachel I Buechler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720431596 PECOS PAC ID: 7214216456 Enrollment ID: I20161111000128 |
| Provider Name | Wennifer Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295814499 PECOS PAC ID: 2062434541 Enrollment ID: I20161128000549 |
| Provider Name | Lisa M Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144389644 PECOS PAC ID: 5890076392 Enrollment ID: I20161221000241 |
| Provider Name | Varinder Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811389893 PECOS PAC ID: 5395026413 Enrollment ID: I20170104001522 |
| Provider Name | Meika R Byam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902203029 PECOS PAC ID: 6406173574 Enrollment ID: I20170104001876 |
| Provider Name | Monte S Ephraim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598200123 PECOS PAC ID: 6608151592 Enrollment ID: I20170315001616 |
| Provider Name | Randall Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407388358 PECOS PAC ID: 9931476223 Enrollment ID: I20170516001919 |
| Provider Name | Ihuoma G Emenuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265727093 PECOS PAC ID: 6103043054 Enrollment ID: I20170622001814 |
| Provider Name | Amit Dhir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518498021 PECOS PAC ID: 6800165705 Enrollment ID: I20170710001094 |
| Provider Name | Brittany Budzinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396150819 PECOS PAC ID: 1355569575 Enrollment ID: I20170726000236 |
| Provider Name | Nina Okpere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487185021 PECOS PAC ID: 7618249616 Enrollment ID: I20170825002708 |
| Provider Name | Leah J Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558816496 PECOS PAC ID: 8426337700 Enrollment ID: I20171018000136 |
| Provider Name | Andrea Schulze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558709337 PECOS PAC ID: 4981926433 Enrollment ID: I20171027000063 |
| Provider Name | Katharine C Rathbun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477586592 PECOS PAC ID: 1850479320 Enrollment ID: I20171227001915 |
| Provider Name | Aleisha T Epps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043721293 PECOS PAC ID: 6103187810 Enrollment ID: I20180220002499 |
| Provider Name | Nalini Sookdeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700395118 PECOS PAC ID: 8527322510 Enrollment ID: I20180426002815 |
| Provider Name | Christina J Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760855175 PECOS PAC ID: 0244586931 Enrollment ID: I20180711001446 |
| Provider Name | Rebecca Coppola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164832366 PECOS PAC ID: 0345501037 Enrollment ID: I20180821003604 |
| Provider Name | Veronica Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962935684 PECOS PAC ID: 0244583474 Enrollment ID: I20181105002249 |
| Provider Name | Elizabeth S Kartal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235611856 PECOS PAC ID: 9234483025 Enrollment ID: I20181114001372 |
| Provider Name | Johanna L Smearman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831667708 PECOS PAC ID: 9032454137 Enrollment ID: I20181218002310 |
| Provider Name | Heidi H Marine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538632377 PECOS PAC ID: 2163760026 Enrollment ID: I20190219001872 |
| Provider Name | Sharon D Bisco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831364728 PECOS PAC ID: 8426399262 Enrollment ID: I20190404002204 |
| Provider Name | Kisha Lorraine Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689693335 PECOS PAC ID: 9032398565 Enrollment ID: I20190408001152 |
| Provider Name | Stecy A Ola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204528 PECOS PAC ID: 2163645268 Enrollment ID: I20190408001850 |
| Provider Name | Andrea Ajogun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902360118 PECOS PAC ID: 9537401401 Enrollment ID: I20190424000905 |
| Provider Name | Kimberly Ann Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932595725 PECOS PAC ID: 3870882004 Enrollment ID: I20190530000912 |
| Provider Name | Christina Renee Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033775770 PECOS PAC ID: 7517293814 Enrollment ID: I20190724002559 |
| Provider Name | James A Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841730942 PECOS PAC ID: 4284960220 Enrollment ID: I20190729001580 |
| Provider Name | Samantha H Reich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245887702 PECOS PAC ID: 3476883463 Enrollment ID: I20190917003484 |
| Provider Name | Felease J Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417118795 PECOS PAC ID: 2062742067 Enrollment ID: I20190917003770 |
| Provider Name | Emmanuelle N Noar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598127078 PECOS PAC ID: 2567754120 Enrollment ID: I20190918001178 |
| Provider Name | Kristen Broom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073502969 PECOS PAC ID: 6709890965 Enrollment ID: I20200116000936 |
| Provider Name | Dara K Winfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134463847 PECOS PAC ID: 0446405872 Enrollment ID: I20200311000886 |
| Provider Name | Ayodeji B Olawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395725 PECOS PAC ID: 1759711278 Enrollment ID: I20200424001712 |
| Provider Name | Shannon P Santoni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124508155 PECOS PAC ID: 3375894330 Enrollment ID: I20200612001791 |
| Provider Name | Rebecca A Reich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417202664 PECOS PAC ID: 2163844762 Enrollment ID: I20200629001588 |
| Provider Name | Ndifreke N Enyeama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388783 PECOS PAC ID: 9032531595 Enrollment ID: I20200630000437 |
| Provider Name | Alyssa L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104233972 PECOS PAC ID: 6608299987 Enrollment ID: I20200702002219 |
| Provider Name | Amil M Qureshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174555130 PECOS PAC ID: 9234377656 Enrollment ID: I20201125000210 |
| Provider Name | Sanjeev K Sriram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891814638 PECOS PAC ID: 1850498262 Enrollment ID: I20201228000840 |
| Provider Name | Alma Robinson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609879428 PECOS PAC ID: 8729492541 Enrollment ID: I20210205000871 |
| Provider Name | Anita David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730643610 PECOS PAC ID: 9830437615 Enrollment ID: I20210208000189 |
| Provider Name | Marissa Leigh Khajavi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235543224 PECOS PAC ID: 5698991768 Enrollment ID: I20210208002636 |
| Provider Name | Sharon R Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184960841 PECOS PAC ID: 0244451540 Enrollment ID: I20210303000557 |
| Provider Name | Emily R Hodson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417540014 PECOS PAC ID: 8224445770 Enrollment ID: I20210329001688 |
| Provider Name | Jennifer O Anyika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477152775 PECOS PAC ID: 3678982428 Enrollment ID: I20210506001492 |
| Provider Name | Nziavake Masimasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366457160 PECOS PAC ID: 6406856129 Enrollment ID: I20210525002212 |
| Provider Name | Vanessa Okechukwu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518456953 PECOS PAC ID: 8022365295 Enrollment ID: I20210608000282 |
| Provider Name | Nicole D Mason |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992229868 PECOS PAC ID: 2466855820 Enrollment ID: I20210722000826 |
| Provider Name | Annie Mouafo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134634538 PECOS PAC ID: 8729313812 Enrollment ID: I20210723000864 |
| Provider Name | Jess Lupardus Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423211 PECOS PAC ID: 1759625379 Enrollment ID: I20210730001895 |
| Provider Name | Katherine M Neitzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326542440 PECOS PAC ID: 7012265366 Enrollment ID: I20210827001388 |
| Provider Name | Tonilee Lucchino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821445545 PECOS PAC ID: 3779989793 Enrollment ID: I20210831000594 |
| Provider Name | Phillip J Lovett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972036911 PECOS PAC ID: 3779989058 Enrollment ID: I20210913000711 |
| Provider Name | Gabrielle Dajon Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457855025 PECOS PAC ID: 2860749546 Enrollment ID: I20210920003537 |
| Provider Name | Amy Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235633694 PECOS PAC ID: 6901140805 Enrollment ID: I20210922001970 |
| Provider Name | Ikeshia Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710433495 PECOS PAC ID: 0244504009 Enrollment ID: I20211018001996 |
| Provider Name | Susan T Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285100297 PECOS PAC ID: 0446504328 Enrollment ID: I20211020003154 |
| Provider Name | Kylie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689187205 PECOS PAC ID: 4183986128 Enrollment ID: I20211102000128 |
| Provider Name | David J Idemudia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255962841 PECOS PAC ID: 8022407733 Enrollment ID: I20211118002665 |
| Provider Name | Christopher A Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063852200 PECOS PAC ID: 7517359789 Enrollment ID: I20220120000519 |
| Provider Name | Teresa D Correia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467758086 PECOS PAC ID: 8123412251 Enrollment ID: I20220307000071 |
| Provider Name | Jessica Lauren Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851745517 PECOS PAC ID: 8820387384 Enrollment ID: I20220310002951 |
| Provider Name | Laura M Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861885469 PECOS PAC ID: 1557798964 Enrollment ID: I20220523001594 |
| Provider Name | Sailor F Holobaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194171538 PECOS PAC ID: 3678954880 Enrollment ID: I20220719003984 |
| Provider Name | Dana A Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497037287 PECOS PAC ID: 6507884269 Enrollment ID: I20220803000782 |
| Provider Name | Emily E Kallay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124682356 PECOS PAC ID: 2668855883 Enrollment ID: I20220819001657 |
| Provider Name | Orlando I Sola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104245646 PECOS PAC ID: 4880989458 Enrollment ID: I20220825000095 |
| Provider Name | Maureen Fern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780319053 PECOS PAC ID: 5890179493 Enrollment ID: I20220831001615 |
| Provider Name | Ruby Oommen Monichan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952861353 PECOS PAC ID: 1052795457 Enrollment ID: I20220902002076 |
| Provider Name | Sabrina Gard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477895605 PECOS PAC ID: 1153616271 Enrollment ID: I20220908001828 |
| Provider Name | Pui Yu Hon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841683828 PECOS PAC ID: 9537487624 Enrollment ID: I20221021000189 |
| Provider Name | Veronica C Obodo Eckblad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295813020 PECOS PAC ID: 7416973631 Enrollment ID: I20221117000108 |
| Provider Name | Aalok V Malankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124265087 PECOS PAC ID: 2961680566 Enrollment ID: I20221122003297 |
| Provider Name | Ryan M Saxman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508207010 PECOS PAC ID: 2769850551 Enrollment ID: I20221129001960 |
| Provider Name | Audrey M Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366781429 PECOS PAC ID: 7315310992 Enrollment ID: I20230301001841 |
| Provider Name | Marlene Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538705645 PECOS PAC ID: 1658745344 Enrollment ID: I20230320002700 |
| Provider Name | David A Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013399310 PECOS PAC ID: 1557613882 Enrollment ID: I20230410002637 |
| Provider Name | Tricia K Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285973883 PECOS PAC ID: 5991948747 Enrollment ID: I20230622003654 |
| Provider Name | Johnta Gobio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578031324 PECOS PAC ID: 7517326077 Enrollment ID: I20230701000137 |
| Provider Name | Gabriela Siegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518499730 PECOS PAC ID: 3274802988 Enrollment ID: I20230706000823 |
| Provider Name | Christopher James Smith |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1053817981 PECOS PAC ID: 7113265323 Enrollment ID: I20230706002058 |
| Provider Name | Fabian Dammann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407377104 PECOS PAC ID: 0547695553 Enrollment ID: I20230727002257 |
| Provider Name | Kem J Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083857312 PECOS PAC ID: 9436512464 Enrollment ID: I20230824000227 |
| Provider Name | Megan E Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225509243 PECOS PAC ID: 0143683102 Enrollment ID: I20230824001251 |
| Provider Name | Vanesha V Goffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134779853 PECOS PAC ID: 9436548203 Enrollment ID: I20230915002182 |
| Provider Name | Lisa M Lesane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225411978 PECOS PAC ID: 6608172556 Enrollment ID: I20230929002514 |
| Provider Name | Allison Haley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750898656 PECOS PAC ID: 2466808241 Enrollment ID: I20231031001172 |
| Provider Name | Jamellia Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528842309 PECOS PAC ID: 0941657217 Enrollment ID: I20231108000506 |
| Provider Name | Grai P Bluez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154089134 PECOS PAC ID: 9830546134 Enrollment ID: I20231108000835 |
| Provider Name | Brian Borntrager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689455545 PECOS PAC ID: 0840641452 Enrollment ID: I20240108006179 |
| Provider Name | Rolesia R Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447304555 PECOS PAC ID: 3476904087 Enrollment ID: I20240108006227 |
| Provider Name | Dhanashree Chada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033866843 PECOS PAC ID: 1850743196 Enrollment ID: I20240123000409 |
| Provider Name | Gary Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710469804 PECOS PAC ID: 0547612897 Enrollment ID: I20240123000538 |
| Provider Name | Julia May |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487141784 PECOS PAC ID: 2567815723 Enrollment ID: I20240124003195 |
| Provider Name | Joanne R Silverstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619374071 PECOS PAC ID: 6204289473 Enrollment ID: I20240124003573 |
| Provider Name | Michael S Mcgraw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699129437 PECOS PAC ID: 3173976057 Enrollment ID: I20240126002001 |
| Provider Name | Egochi P Adesina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669925103 PECOS PAC ID: 4183077076 Enrollment ID: I20240126002358 |
| Provider Name | Denise R Parsons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225270382 PECOS PAC ID: 8022160217 Enrollment ID: I20240126003405 |
| Provider Name | Paul A Lotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790193233 PECOS PAC ID: 7517310386 Enrollment ID: I20240129000512 |
| Provider Name | Lauren N Vaszil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518395417 PECOS PAC ID: 8820449515 Enrollment ID: I20240129002251 |
| Provider Name | Derricka A White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639820517 PECOS PAC ID: 0941643480 Enrollment ID: I20240212002401 |
| Provider Name | Aldin L Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215103544 PECOS PAC ID: 3678917945 Enrollment ID: I20240215000836 |
| Provider Name | Ilana R Hipshman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811507460 PECOS PAC ID: 7911341052 Enrollment ID: I20240216003009 |
| Provider Name | Deanna A Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841779634 PECOS PAC ID: 9537591219 Enrollment ID: I20240216003667 |
| Provider Name | Sherel A Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851367957 PECOS PAC ID: 5193772499 Enrollment ID: I20240221001391 |
| Provider Name | Ayana T Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548727308 PECOS PAC ID: 6800231556 Enrollment ID: I20240304002599 |
| Provider Name | Joan M Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023368768 PECOS PAC ID: 3779920145 Enrollment ID: I20240320003319 |
| Provider Name | Sergey Istomin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023384963 PECOS PAC ID: 1658503347 Enrollment ID: I20240321002585 |
| Provider Name | Andrea C Tompkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063167005 PECOS PAC ID: 0840638920 Enrollment ID: I20240409002173 |
| Provider Name | Kathy M Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568172468 PECOS PAC ID: 5092156422 Enrollment ID: I20240515003630 |
| Provider Name | Demi Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376786038 PECOS PAC ID: 6800070202 Enrollment ID: I20240520002093 |
| Provider Name | Stephanneth Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215352687 PECOS PAC ID: 7719103878 Enrollment ID: I20240522001109 |
| Provider Name | Sierra O Somerville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225766579 PECOS PAC ID: 3678915311 Enrollment ID: I20240524003194 |
| Provider Name | Taylor J Hans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326894213 PECOS PAC ID: 7214379791 Enrollment ID: I20240529003344 |
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 |