JASON P BROKAW (NPI# 1033107941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033107941 |
| Entity Type | Individual |
| Full Name | JASON P BROKAW |
| Credential | MD |
| Practice Address |
2700 Quarry Lake Drive Suite 300 Baltimore MD 21209-3746 |
| Practice Telephone | 4103778900 |
| Practice Fax Number | 4103773156 |
| Mailing Telephone | 4103778900 |
| Mailing Fax Number | 4103773156 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D61663 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 405740600 | 05 |
| Street Address |
2700 QUARRY LAKE DRIVE SUITE 300 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642369 | Jerome P Reichmister | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2005-10-13 |
| 1043553092 | Orthopaedic Specialty Center | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2013-03-28 |
| 1851649115 | Michelle E Auster | Physician Assistant | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2012-08-16 |
| 1437446986 | Sunshine Mcwhinney | Physician Assistant | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2011-07-06 |
| 1962633396 | Diana M. Richardson | Physical Therapist | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2009-08-03 |
| 1376796482 | Brenda E. Eichelberger | Physical Therapist | 2700 Quarry Lake Drive, #300, Baltimore, MD 21209-3746 | 2008-11-03 |
| 1306027263 | Chad C Zooker | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2007-11-20 |
| 1003954520 | Orthopaedic Specialty Center | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2007-02-05 |
| 1811059744 | Margaret Y Siauw | Acupuncturist | 2700 Quarry Lake Drive, Baltimore, MD 21209 | 2006-12-15 |
| 1265508113 | Danielle Lucia Draksler | Specialist/Technologist | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2006-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
| Find all providers in zip 21209 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1295789311 | Norman B Rosen | Physical Medicine & Rehabilitation | 1001 Cromwell Bridge Rd Ste 200, Baltimore, MD 21286-3330 | 2006-05-22 |
| 1487612263 | Robert Alan Lavin | Physical Medicine & Rehabilitation | 10 N Greene St., Suite 4a-150, Bt - 127, Dept. of Neurology, Baltimore, MD 21201-1524 | 2006-05-02 |
| 1972150126 | Johns Hopkins University | Physical Medicine & Rehabilitation | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1588115554 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 312 Martin Luther King Jr Blvd, Suite 102, Baltimore, MD 21201-1221 | 2016-10-14 |
| 1013275981 | Sinai Hospital of Baltimore, Inc | Physical Medicine & Rehabilitation | 2401 W Belvedere Ave, Rehab Pain Medicine, Baltimore, MD 21215-5216 | 2012-04-30 |
| 1730404153 | Alfredo B Caragay | Physical Medicine & Rehabilitation | 1120 Saint Paul St, Ground Level, Baltimore, MD 21202-2618 | 2010-03-29 |
| 1033359336 | Behnam Jafarpour | Physical Medicine & Rehabilitation | 3421 Benson Ave, Suite 210, Baltimore, MD 21227-1056 | 2009-02-25 |
| 1457481194 | Gabriel A Martinez Geigel | Physical Medicine & Rehabilitation | 9106 Philadelphia Road, Suite 306, Baltimore, MD 21237 | 2007-03-06 |
| Find all providers in BALTIMORE | ||||
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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.