MARYLAND GENERAL CLINICAL PRACTICE GROUP, INC. (NPI# 1043827892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043827892 |
| Entity Type | Organization |
| Organization Name | MARYLAND GENERAL CLINICAL PRACTICE GROUP, INC. |
| Practice Address |
827 Linden Ave Baltimore MD 21201-4606 |
| Mailing Address |
900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 |
| Practice Telephone | 4102258000 |
| Mailing Telephone | 4434625010 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | ALISON GATES BROWN (INTERIM PRESIDENT) |
| Authorized Official Telephone | 4102258614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932438413 | Maryland General Clinical Practice Group, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 827 Linden Ave, Baltimore, MD 21201-4606 | 2009-12-14 |
| 1770684805 | Maryland General Clinical Practice Group, Inc. | Clinic/Center | 827 Linden Ave, Baltimore, MD 21264-0001 | 2006-09-25 |
| Street Address |
827 LINDEN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677783 | University of Maryland Medical System Corporation | Clinic/Center | 827 Linden Ave, Baltimore, MD 21201-4606 | 2005-05-23 |
| 1093325102 | David Lamason | Social Worker | 827 Linden Ave, Baltimore, MD 21201-4606 | 2020-08-04 |
| 1033728118 | Jagat Bandhu Mahat | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201-4606 | 2020-07-24 |
| 1821607102 | Yazan Odeh Ali Alzedaneen | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201-4606 | 2020-07-23 |
| 1699383398 | Sylvia G Bikos | Social Worker | 827 Linden Ave, Baltimore, MD 21201-4606 | 2020-07-20 |
| 1144848367 | Mehmet Hocaoglu | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201 | 2020-07-14 |
| 1558989822 | Kory St John Jaggon | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201 | 2020-07-13 |
| 1225655574 | Prajwol Shah | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201 | 2020-07-02 |
| 1912523036 | Aleksan Khachatryan | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201 | 2020-06-24 |
| 1164046843 | Sneha E Thomas | Student in an Organized Health Care Education/Training Program | 827 Linden Ave, Baltimore, MD 21201-4606 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1326574799 | Marife Ann Ortega Teague | General Practice | 226 E 39th St, Baltimore, MD 21218 | 2017-05-04 |
| 1295199826 | Michael Rozak | General Practice | 3001 S Hanover St Dept Of, Baltimore, MD 21225-1233 | 2016-04-10 |
| 1114380433 | Ryan Sutherland | General Practice | Diagnostic Radiology and Nuclear Medicine, 22 S Greene St, Baltimore, MD 21201 | 2016-04-04 |
| 1386028900 | Christopher Kircher | General Practice | 1016 S Robinson St, Baltimore, MD 21224-4937 | 2015-07-14 |
| 1437549466 | Health Alliance Associates | General Practice | 13 Hamilton Street, Baltimore, MD 21202-2120 | 2015-01-29 |
| 1952707903 | Bannister Lee Raines Jr. | General Practice | 1325 Bedford Ave Unit 21499, Baltimore, MD 21282-7525 | 2014-11-18 |
| 1437589868 | Peoples Community Health Center, Inc. | General Practice | 1734 Maryland Avenue, Baltimore, MD 21201 | 2013-11-21 |
| 1417245101 | Matthew Feeley | General Practice | 615 N Wolfe St Ste Wb602, Baltimore, MD 21205-2103 | 2011-07-14 |
| 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.