| Home Physicians Baltimore, Pc | |
|
111 S Calvert St Ste 1600 Baltimore MD 21202-6106 | |
| (773) 292-4900 | |
| (312) 564-4059 |
| Full Name | Home Physicians Baltimore, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 S Calvert St Ste 1600, Baltimore, Maryland |
| Authorized Official Name and Position | Dirk O Wales (CEO/OWNER) |
| Authorized Official Contact | 6155643511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Physicians Baltimore, Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Home Physicians Baltimore, Pc 111 S Calvert St Ste 1600 Baltimore MD 21202-6106 Ph: (773) 292-4900 |
| NPI Number | 1952591547 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 9638266802 |
|---|---|
| Medicare Enrollment ID | O20090511000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952591547 | NPI | - | NPPES |
| Provider Name | Adetutu Aina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710317680 PECOS PAC ID: 8820317829 Enrollment ID: I20180220001243 |
| Provider Name | Ruby Uwaeme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649617465 PECOS PAC ID: 9436477288 Enrollment ID: I20191002002199 |
| Provider Name | Omolola Akinmadelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376188151 PECOS PAC ID: 1850705617 Enrollment ID: I20210208000109 |
| Provider Name | Adaku Onyembi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598236614 PECOS PAC ID: 2668801978 Enrollment ID: I20210616001887 |
| Provider Name | Deborah Nwokenkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966113 PECOS PAC ID: 0143629816 Enrollment ID: I20210621001384 |
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