CHRISTINE PHO (NPI# 1073138715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073138715 |
| Entity Type | Individual |
| Full Name | CHRISTINE PHO |
| Credential | M.S. |
| Practice Address |
707 N. Broadway Baltimore MD 21205 |
| Mailing Address |
1741 Ashland Ave Patient Accounting Baltimore MD 21205 |
| Practice Telephone | 4439231871 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
707 N. BROADWAY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043261043 | Sakkubai Naidu | Psychiatry & Neurology | 707 N. Broadway, Baltimore, MD 21205 | 2006-05-14 |
| 1215327259 | Kennedy Krieger Associates, Inc - Mental Health Group Provider | Clinic/Center | 707 N. Broadway, Baltimore, MD 21205 | 2015-01-29 |
| 1679979686 | Aishah Aifadhalah | Speech-Language Pathologist | 707 N. Broadway, Baltimore, MD 21205 | 2014-11-18 |
| 1033478623 | Mindy Lee Cavendish | Speech-Language Pathologist | 707 N. Broadway, Baltimore, MD 21205 | 2012-05-16 |
| 1952625675 | Bradley R Grant | Psychiatry & Neurology | 707 N. Broadway, Baltimore, MD 21205 | 2010-03-24 |
| 1053572958 | Kennedy Krieger Associates, Inc. | Psychologist | 707 N. Broadway, Baltimore, MD 21205 | 2008-06-23 |
| 1164638391 | Kennedy Krieger Children's Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 707 N. Broadway, Baltimore, MD 21205 | 2007-05-15 |
| 1881800027 | Kennedy Krieger Children's Hospital, Inc. | Chronic Disease Hospital | 707 N. Broadway, Baltimore, MD 21205 | 2007-05-15 |
| 1629199708 | Carrie Roylance Zetlmeisi | Speech-Language Pathologist | 707 N. Broadway, Baltimore, MD 21205 | 2007-04-03 |
| 1982750543 | Suzanne Marie Rybczynski | Pediatrics | 707 N. Broadway, Baltimore, MD 21205 | 2007-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1265043160 | Kathryn Ann Ritchie | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 | 2020-08-13 |
| 1053929372 | Rod Guerrero Salgado | Student in an Organized Health Care Education/Training Program | 140 N Luzerne Ave, Baltimore, MD 21224-1147 | 2020-07-22 |
| 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 |
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1649897158 | Michael William Mikula | Student in an Organized Health Care Education/Training Program | Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-06-30 |
| 1154948743 | Kamilah S Brown | Student in an Organized Health Care Education/Training Program | 437 E Lorraine Ave, Baltimore, MD 21218-4713 | 2020-06-29 |
| 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 |
| 1467077479 | Nashedra Barry | Student in an Organized Health Care Education/Training Program | 301 N Charles St Apt M1, Baltimore, MD 21201-4397 | 2020-06-15 |
| 1205451804 | Ryan Robert Keoni Ingle | Student in an Organized Health Care Education/Training Program | 29 S Greene St Ste 400, Baltimore, MD 21201-1504 | 2020-06-10 |
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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.