Seton Medical Group, Inc | |
6501 Baltimore National Pike Ste D Catonsville MD 21228-3923 | |
(667) 234-2100 | |
(667) 234-2944 |
Full Name | Seton Medical Group, Inc |
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Speciality | Internal Medicine |
Location | 6501 Baltimore National Pike Ste D, Catonsville, Maryland |
Authorized Official Name and Position | Joseph William Cook (PRESIDENT) |
Authorized Official Contact | 6672342100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seton Medical Group, Inc 3585 Washington Blvd Halethorpe MD 21227-1676 Ph: (667) 234-2149 | Seton Medical Group, Inc 6501 Baltimore National Pike Ste D Catonsville MD 21228-3923 Ph: (667) 234-2100 |
NPI Number | 1144409194 |
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Provider Enumeration Date | 10/26/2007 |
Last Update Date | 06/01/2020 |
Medicare PECOS PAC ID | 7416037924 |
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Medicare Enrollment ID | O20080122000384 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144409194 | NPI | - | NPPES |
8653 | Other | MD | CAREFIRST BCBS |
Provider Name | Erica J Leventhal |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972562353 PECOS PAC ID: 4385534478 Enrollment ID: I20040319001480 |
Provider Name | Dahna Leiser Goldberg |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073573036 PECOS PAC ID: 2668364068 Enrollment ID: I20040329001579 |
Provider Name | Risa W Huber |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104886167 PECOS PAC ID: 9335138379 Enrollment ID: I20040506001092 |
Provider Name | Yelena Lipnik |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487694899 PECOS PAC ID: 5799774543 Enrollment ID: I20040507000948 |
Provider Name | Franz Sewchand |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508826561 PECOS PAC ID: 4082603741 Enrollment ID: I20040507001080 |
Provider Name | Joyce Bonsu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013976414 PECOS PAC ID: 5597754259 Enrollment ID: I20040507001105 |
Provider Name | Elizabeth Bower |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871552265 PECOS PAC ID: 1658360318 Enrollment ID: I20040507001128 |
Provider Name | Mary Rifino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285693697 PECOS PAC ID: 0547259236 Enrollment ID: I20040507001280 |
Provider Name | Nana Ceasar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881704278 PECOS PAC ID: 3971592049 Enrollment ID: I20040512000738 |
Provider Name | Ishrat Rafi |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861451254 PECOS PAC ID: 2062403140 Enrollment ID: I20040518001553 |
Provider Name | Nicholas Morog |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477512887 PECOS PAC ID: 2769473842 Enrollment ID: I20040518001571 |
Provider Name | Douglas L Pinto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790745750 PECOS PAC ID: 3173504156 Enrollment ID: I20040526000433 |
Provider Name | Tricia Angulo-bartlett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134160070 PECOS PAC ID: 8123001203 Enrollment ID: I20040610000126 |
Provider Name | Kathleen M York Jordan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235245127 PECOS PAC ID: 8022066893 Enrollment ID: I20050107000773 |
Provider Name | Michael P Vietz |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194859108 PECOS PAC ID: 3577504075 Enrollment ID: I20050516000145 |
Provider Name | Elekwachi N Nwaogbo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326137662 PECOS PAC ID: 6901833854 Enrollment ID: I20050721000709 |
Provider Name | Manjul Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285695791 PECOS PAC ID: 1153351705 Enrollment ID: I20050815000323 |
Provider Name | Mercy P Jackson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922060870 PECOS PAC ID: 8921029042 Enrollment ID: I20051215000843 |
Provider Name | Lisa M Mikles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902867427 PECOS PAC ID: 1355363078 Enrollment ID: I20051222000161 |
Provider Name | Temitayo O Soyoye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972640878 PECOS PAC ID: 9638278385 Enrollment ID: I20070621000454 |
Provider Name | Saundra M Goralski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982649851 PECOS PAC ID: 6901998004 Enrollment ID: I20070821000366 |
Provider Name | Vincenzo Grippo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982646378 PECOS PAC ID: 9032205695 Enrollment ID: I20071031000256 |
Provider Name | Mary A Sorra |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1972604239 PECOS PAC ID: 1759461502 Enrollment ID: I20080107000030 |
Provider Name | Thomas J Ghiorzi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750328753 PECOS PAC ID: 1850471459 Enrollment ID: I20080109000117 |
Provider Name | Gregory T Levickas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891739744 PECOS PAC ID: 0143302406 Enrollment ID: I20080125000590 |
Provider Name | Kenneth H Williams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649213240 PECOS PAC ID: 9234211574 Enrollment ID: I20080125000598 |
Provider Name | Joseph William Cook |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124069257 PECOS PAC ID: 9133201478 Enrollment ID: I20080128000339 |
Provider Name | George A Durst |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265470876 PECOS PAC ID: 0749362978 Enrollment ID: I20080128000344 |
Provider Name | Usha S Vemulakonda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528032836 PECOS PAC ID: 3971686635 Enrollment ID: I20080325000106 |
Provider Name | Robert C Vanden Bosche |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902850381 PECOS PAC ID: 5193884708 Enrollment ID: I20081111000282 |
Provider Name | Jacqueline M G Wallace |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912945155 PECOS PAC ID: 2264403237 Enrollment ID: I20091104000409 |
Provider Name | James R Evans |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568438208 PECOS PAC ID: 0446398424 Enrollment ID: I20091111000674 |
Provider Name | Sondra B Barker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437253127 PECOS PAC ID: 3971648486 Enrollment ID: I20100309000407 |
Provider Name | Barbara W Kalazny |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477629624 PECOS PAC ID: 2860488020 Enrollment ID: I20100420000763 |
Provider Name | Victoria Steiner-larsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578558359 PECOS PAC ID: 1355471715 Enrollment ID: I20100610000718 |
Provider Name | Neda Frayha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356485783 PECOS PAC ID: 8325162019 Enrollment ID: I20100902000043 |
Provider Name | Nathan G Berger |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639148851 PECOS PAC ID: 0244418283 Enrollment ID: I20110622000610 |
Provider Name | Christopher T Badger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477880094 PECOS PAC ID: 3870761893 Enrollment ID: I20110719000306 |
Provider Name | Adaku Mbagwu Ezeike |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093917999 PECOS PAC ID: 0547439663 Enrollment ID: I20110808000070 |
Provider Name | Robert Goodwin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144335928 PECOS PAC ID: 9436313095 Enrollment ID: I20120611000423 |
Provider Name | Candice T Mak |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1225297039 PECOS PAC ID: 0840455762 Enrollment ID: I20120627000342 |
Provider Name | Pierrette Genia Latimore |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1720330160 PECOS PAC ID: 2860644473 Enrollment ID: I20121206000052 |
Provider Name | Tanya Rosali Kalmar |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568465821 PECOS PAC ID: 6103710330 Enrollment ID: I20140325001507 |
Provider Name | Morgan M Walker |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1730500653 PECOS PAC ID: 4284858127 Enrollment ID: I20140616000070 |
Provider Name | Ashley S Kinder |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982920476 PECOS PAC ID: 4385861210 Enrollment ID: I20140815002047 |
Provider Name | Analeta Peterson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083933162 PECOS PAC ID: 7810127214 Enrollment ID: I20140915000204 |
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 | Tiana R Miller-breland |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1376936872 PECOS PAC ID: 6305158908 Enrollment ID: I20150710001276 |
Provider Name | Fatima Bangura |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1518256791 PECOS PAC ID: 0547575904 Enrollment ID: I20150813010613 |
Provider Name | Mofolusho O Sodeke |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457645277 PECOS PAC ID: 8022324987 Enrollment ID: I20150909000136 |
Provider Name | Laura M Lambert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639546443 PECOS PAC ID: 5092023317 Enrollment ID: I20151006000738 |
Provider Name | Mary C Suntum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376929737 PECOS PAC ID: 5496064701 Enrollment ID: I20151027001345 |
Provider Name | Abimbade A Akhigbe |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093195828 PECOS PAC ID: 7113210709 Enrollment ID: I20160719002420 |
Provider Name | Olawunmi A Kilo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275942641 PECOS PAC ID: 6800180407 Enrollment ID: I20160804000910 |
Provider Name | Ji Yon Kwon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992145460 PECOS PAC ID: 6901103530 Enrollment ID: I20160809002278 |
Provider Name | Victoria Donaldson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346548294 PECOS PAC ID: 1254519291 Enrollment ID: I20160919000653 |
Provider Name | Elizabeth J Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346795309 PECOS PAC ID: 2365739968 Enrollment ID: I20160926001601 |
Provider Name | Rachel E Heibein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225481245 PECOS PAC ID: 5193012326 Enrollment ID: I20161003000021 |
Provider Name | Lindsay E Dokou |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417290446 PECOS PAC ID: 4587954979 Enrollment ID: I20170728000806 |
Provider Name | Paige Halter Luneburg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245658434 PECOS PAC ID: 5395044465 Enrollment ID: I20180619000455 |
Provider Name | Leah M Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518440015 PECOS PAC ID: 0345592556 Enrollment ID: I20181016001028 |
Provider Name | Rebecca C Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255845756 PECOS PAC ID: 8426303256 Enrollment ID: I20181029002206 |
Provider Name | Kera S Nichol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881827640 PECOS PAC ID: 6103163241 Enrollment ID: I20190128000698 |
Provider Name | Katina S Christopher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295120947 PECOS PAC ID: 8729377536 Enrollment ID: I20190624003431 |
Provider Name | Sonia Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467017129 PECOS PAC ID: 0244568434 Enrollment ID: I20190827000116 |
Provider Name | Shahad Kareem Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508228784 PECOS PAC ID: 2466747258 Enrollment ID: I20190919003174 |
Provider Name | Eunji Kwon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124401401 PECOS PAC ID: 9830448190 Enrollment ID: I20200402000775 |
Provider Name | Casey H Mabry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366805145 PECOS PAC ID: 9032404645 Enrollment ID: I20200630000064 |
Provider Name | Mrinal Joshi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255731253 PECOS PAC ID: 6709129380 Enrollment ID: I20200731000410 |
Provider Name | Alyssa Newton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295197739 PECOS PAC ID: 6406142793 Enrollment ID: I20200821000362 |
Provider Name | Christian Gragasin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902438062 PECOS PAC ID: 2567882533 Enrollment ID: I20201013000592 |
Provider Name | Shirley Pack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619567906 PECOS PAC ID: 4789093485 Enrollment ID: I20220126000300 |
Provider Name | Emily Marie Coco |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013677822 PECOS PAC ID: 3870986243 Enrollment ID: I20220207001939 |
Provider Name | Maureen Therese Cohee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033214754 PECOS PAC ID: 9335242973 Enrollment ID: I20220514000291 |
Provider Name | Kyung H Yoo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154072908 PECOS PAC ID: 6204219454 Enrollment ID: I20220820000146 |
Provider Name | Abbey E Breen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386355972 PECOS PAC ID: 9234509662 Enrollment ID: I20221229002452 |
Provider Name | Chelsea Smith Dewberry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396372173 PECOS PAC ID: 4880051200 Enrollment ID: I20230531000047 |
Provider Name | Dianne Elizabeth Walters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841991973 PECOS PAC ID: 0244699981 Enrollment ID: I20230629000019 |
Provider Name | Rubina Kapoor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730685116 PECOS PAC ID: 5890043350 Enrollment ID: I20230720000594 |
Provider Name | David Boucher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629750849 PECOS PAC ID: 0345698320 Enrollment ID: I20231201000543 |
Provider Name | Natacha Etack Djambe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205198397 PECOS PAC ID: 2163873027 Enrollment ID: I20240105000140 |
Provider Name | Caitlin Fong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154029213 PECOS PAC ID: 0345691119 Enrollment ID: I20240105000494 |
Provider Name | Chantelle Marie Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801523295 PECOS PAC ID: 7214380039 Enrollment ID: I20240202003631 |
Provider Name | Rebecca Noemi Hernandez |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1801594841 PECOS PAC ID: 0042656894 Enrollment ID: I20240314003162 |
Provider Name | Shante R Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295384030 PECOS PAC ID: 6800220021 Enrollment ID: I20240425002061 |
Provider Name | Ashaben Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447018999 PECOS PAC ID: 8224479654 Enrollment ID: I20240515003807 |
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