ZION AMBULATORY CENTER LLC (NPI# 1023055001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023055001 |
Entity Type | Organization |
Organization Name | ZION AMBULATORY CENTER LLC |
Practice Address |
9106 Philadelphia Rd Ste 108 Baltimore MD 21237-4335 |
Practice Telephone | 4106825040 |
Practice Fax Number | 4106825044 |
Mailing Telephone | 4106825040 |
Mailing Fax Number | 4106825044 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2020-11-02 |
Authorized Official Name | DR. MICHAEL A. GARDYN (PRESIDENT) |
Authorized Official Telephone | 4104990082 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
A1426 | MD | Ambulatory Health Care Facilities |
Street Address |
9106 PHILADELPHIA RD STE 108 |
City | BALTIMORE |
State | MD |
Zip Code | 21237-4335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
Find all providers in zip 21237 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295983997 | Qol Pain Management LLC. | Clinic/Center | 3102 N Hilton St, Baltimore, MD 21216-1450 | 2008-09-05 |
1740586627 | Interventional Pain Institute, LLC | Clinic/Center | 2700 Lighthouse Pt E, Suite 402, Baltimore, MD 21224-4777 | 2011-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669014098 | Maryland Pain and Spine Center, LLC | Clinic/Center | 844 Washington Rd Ste 207, Westminster, MD 21157-6664 | 2019-10-17 |
1285196295 | Xpress Medical Specialties, LLC | Clinic/Center | 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769-9182 | 2019-04-01 |
1710453808 | Young Ji Acupuncture Clinic | Clinic/Center | 3459 Saint Johns Ln Ste 9, Ellicott City, MD 21042-4026 | 2018-10-16 |
1447755178 | Legacy Spine and Pain, LLC | Clinic/Center | 10421 Motor City Dr # 342430, Bethesda, MD 20817-9996 | 2018-03-26 |
1164775979 | Potomac Healthcare Alliance | Clinic/Center | 198 Thomas Johnson Dr Ste 5, Frederick, MD 21702-4449 | 2012-10-17 |
1194018085 | Healthy Life Medical Group, Inc | Clinic/Center | 9607 Reisterstown Rd, Owings Mills, MD 21117-4129 | 2011-05-25 |
1881917383 | Workwell Physicals Inc | Clinic/Center | 7711 Garrison Rd, Hyattsville, MD 20784-1756 | 2010-03-11 |
1548582877 | Alt. Medicine Inc. | Clinic/Center | 3201 Corporate Ct Fl 1, Ellicott City, MD 21042-2247 | 2010-03-01 |
1174853626 | Carlos S. Santiago IIi, Mdpc | Clinic/Center | 924 Seton Dr Ste 1, Cumberland, MD 21502-1851 | 2010-01-06 |
1174711949 | Surgery Centers of Delmarva, LLC | Clinic/Center | 101 Chesapeake Blvd, Suite C, Elkton, MD 21921-6313 | 2007-10-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.