| Falls Medical Specialists, Llc | |
|
10753 Falls Rd Suite 225 Lutherville MD 21093-4535 | |
| (410) 583-2828 | |
| (410) 583-2841 |
| Full Name | Falls Medical Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10753 Falls Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Ira Teddy Fine (PRESIDENT) |
| Authorized Official Contact | 4105832828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Falls Medical Specialists, Llc 10753 Falls Rd Suite 225 Lutherville MD 21093-4535 Ph: (410) 583-2828 | Falls Medical Specialists, Llc 10753 Falls Rd Suite 225 Lutherville MD 21093-4535 Ph: (410) 583-2828 |
| NPI Number | 1134240401 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 1052301132 |
|---|---|
| Medicare Enrollment ID | O20040512001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134240401 | NPI | - | NPPES |
| Provider Name | Cecilia P Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992724603 PECOS PAC ID: 2163427881 Enrollment ID: I20061002000036 |
| Provider Name | Ira Fine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079599 PECOS PAC ID: 7315035656 Enrollment ID: I20101111000078 |
| Provider Name | David Mcginnis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316918980 PECOS PAC ID: 5698960086 Enrollment ID: I20101111000124 |
| Provider Name | Marisa Carly Mizus |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558654418 PECOS PAC ID: 1153613344 Enrollment ID: I20170816001312 |
| Provider Name | Susanna Jeurling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316332828 PECOS PAC ID: 3173817038 Enrollment ID: I20200915000108 |
| Provider Name | James Son |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730534199 PECOS PAC ID: 2961890934 Enrollment ID: I20211026001760 |
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