USCG CLINIC BALTIMORE (NPI# 1063959450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063959450 |
| Entity Type | Organization |
| Organization Name | USCG CLINIC BALTIMORE |
| Practice Address |
2401 Hawkins Point Rd Curtis Bay MD 21226-1797 |
| Practice Telephone | 7576284363 |
| Mailing Telephone | 7576284363 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | DEBRA FITZGERALD (HSWL SC) |
| Authorized Official Telephone | 7576284363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
2401 HAWKINS POINT RD |
| City | CURTIS BAY |
| State | MD |
| Zip Code | 21226-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600892 | Jacques Juan Velez-balay | Military Health Care Provider | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2005-12-15 |
| 1477635019 | Caost Guard Yard | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2006-10-20 |
| 1699711895 | Uscg Clinic | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2006-06-22 |
| 1972544773 | Uscg Clinic | Clinic/Center | 2401 Hawkins Point Rd, Bldg 28 B, Curtis Bay, MD 21226-1797 | 2006-06-10 |
| 1568448934 | Carolyn Marie Bolen | Dental Hygienist | 2401 Hawkins Point Rd, Bldg. 28b, Curtis Bay, MD 21226-1797 | 2005-12-19 |
| 1861478471 | Doro J Kim | Military Health Care Provider | 2401 Hawkins Point Rd, Bldg. 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1346226933 | Teresa Lorraine Padilla | Military Health Care Provider | 2401 Hawkins Point Rd, Building 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1710963228 | Megan Norton | Military Health Care Provider | 2401 Hawkins Point Rd, Bldg. 28 B, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1174509780 | Aaron E Fulcher | Military Health Care Provider | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1649256157 | James Robert Riccelli | Military Health Care Provider | 2401 Hawkins Point Rd, Building 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634238 | Stephen Michael Reinitz | Anesthesiology | 3001 South Hanover Street, Baltimore, MD 21226 | 2005-07-29 |
| 1033324777 | Ca Rushing & Associates | Community/Behavioral Health | 4710 Pennington Ave, 2 Fl Suite 3, Baltimore, MD 21226 | 2007-05-14 |
| 1538375001 | Takeey Lakeysha Wiggins | Spec/Tech, Pathology | 2401 Hawkins Point Road, Bldg 28b, Baltimore, MD 21226 | 2007-05-14 |
| 1275756009 | Bridget G Day | Technician, Other | 2401 Hawkins Point Road, Attn Health Services Division, Baltinore, MD 21226 | 2007-04-10 |
| 1972143212 | Danielle Emerson | Social Worker | 4710 Pennington Ave Fl 2, Curtis Bay, MD 21226-1405 | 2020-01-15 |
| 1669002317 | Sandra Lee Rosenbach | Social Worker | 4710 Pennington Ave Fl 2, Baltimore, MD 21226-1405 | 2020-01-22 |
| 1669930996 | Victorine Akwen Ngang | Nurse Practitioner | 4710 Pennington Ave, Curtis Bay, MD 21226-1405 | 2019-03-05 |
| 1982169975 | Alexandra Bradford | Social Worker | 4710 Pennington Ave, Baltimore, MD 21226-1405 | 2019-02-05 |
| 1861963498 | New Vision Behavioral Health Services Inc | Community/Behavioral Health | 4710 Pennington Ave, 2nd Fl, Suite 3, Curtis Bay, MD 21226-1405 | 2018-12-07 |
| 1487911889 | New Vision Behavioral Health Services Inc | Community/Behavioral Health | 4710 Pennington Ave, 2nd Floor, Suite 3, Baltimore, MD 21226-1405 | 2012-04-23 |
| Find all providers in zip 21226 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699711895 | Uscg Clinic | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2006-06-22 |
| 1972544773 | Uscg Clinic | Clinic/Center | 2401 Hawkins Point Rd, Bldg 28 B, Curtis Bay, MD 21226-1797 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498417 | Branch Medical Clinic Indian Head | Clinic/Center | 4141 W Wilson Rd, Suite105, Indian Head, MD 20640-5162 | 2007-07-05 |
| 1033315080 | Branch Medical Clinic Bancroft Hall | Clinic/Center | 121 Blake Rd, Annapolis, MD 21402-1300 | 2007-06-26 |
| 1043668775 | Logistics Health Incorporated | Clinic/Center | 4201 Northview Dr Ste 410, Bowie, MD 20716-2668 | 2016-06-03 |
| 1811228422 | Us Coast Guard | Clinic/Center | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2010-01-21 |
| 1851622401 | Us Coast Guard Yard - Hswl Clinic | Clinic/Center | 2401 Hawkins Point Rd, Bldg 28b, Baltimore, MD 21226 | 2010-01-21 |
| 1487850541 | Branch Medical Clinic Andrews | Clinic/Center | 1 San Diego Loop, Bldg 3282, Andrews Afb, MD 20762-5518 | 2007-06-26 |
| 1316142607 | Kimbrough Acc Military Mtf | Clinic/Center | 1434 Porter St, Usadc, Fort Detrick, MD 21702-9210 | 2007-06-18 |
| 1093910374 | Kimbrough Acc Military Mtf | Clinic/Center | 4110 Austin Road, Aberdeen Proving Ground, MD 21010 | 2007-06-18 |
| 1689879926 | Kimbrough Acc Military Mtf | Clinic/Center | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2007-06-18 |
| 1124223797 | Kimbrough Acc Military Mtf | Clinic/Center | 8472 Simmond St, Fort Meade, MD 20755-5700 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | CURTIS BAY |
| Zip Code | 21226 |
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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.