| |
5601 Loch Raven Blvd Russell Morgan Bldg., Suite 206 Baltimore MD 21239-2905 | |
(443) 444-5600 | |
(443) 444-4606 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 5601 Loch Raven Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Jamie L Steele-white (CREDENTIALING ASSOCIATE) |
Authorized Official Contact | 4109333073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
9600 Pulaski Park Dr Suite 103 Middle River MD 21220-1400 Ph: (410) 574-3000 | 5601 Loch Raven Blvd Russell Morgan Bldg., Suite 206 Baltimore MD 21239-2905 Ph: (443) 444-5600 |
NPI Number | 1386690790 |
---|---|
Provider Enumeration Date | 05/26/2006 |
Last Update Date | 09/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386690790 | NPI | - | NPPES |
366A | Other | MD | CAREFIRST OF MD |
511000933 | Medicaid | MD | |
A732 | Other | MD | CAREFIRST DC |
CC3132 | Other | MD | RAILROAD MEDICARE |
W652 | Other | MD | CAREFIRST DC |
W651 | Other | MD | CAREFIRST DC |
W653 | Other | MD | CAREFIRST DC |
511000926 | Medicaid | MD | |
W611 | Other | MD | CAREFIRST DC |
W655 | Other | MA | CAREFIRST DC |
511000900 | Medicaid | MD | |
511000902 | Medicaid | MD | |
511000903 | Medicaid | MD | |
KT80 | Other | MD | CAREFIRST OF MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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 |