MARYLAND DIAGNOSTIC SERVICES, INC. (NPI# 1073511655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073511655 |
| Entity Type | Organization |
| Organization Name | MARYLAND DIAGNOSTIC SERVICES, INC. |
| Practice Address |
101 W Ridgely Rd 7b Timonium MD 21093-5101 |
| Mailing Address |
853 Second Street Pike B104 Richboro PA 18954-1082 |
| Practice Telephone | 4106286046 |
| Mailing Telephone | 2153541260 |
| Mailing Fax Number | 2153541266 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL COREN (PRESIDENT) |
| Authorized Official Telephone | 2153541260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA | 111523 | 01 |
| MD | CAREFIRST BLUECHOICE | E509 | 01 |
| MD | CAREFIRST BC/BS | H444MA | 01 |
| Street Address |
101 W RIDGELY RD 7B |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215102835 | Doris A Morgan | Psychologist | 101 W Ridgely Rd, Ste 4a, Timonium, MD 21093-5145 | 2008-04-24 |
| 1760431852 | Joel E Max | Dermatology | 101 W Ridgely Rd, Ste 4b, Timonium, MD 21093-5101 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 2471V0105X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular Sonography |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467861583 | Gil Punsalan Acosta | Radiologic Technologist | 9215 Sandy Creek Rd, Fort Washington, MD 20744-4828 | 2014-08-04 |
| 1215353099 | Jill Sellers | Radiologic Technologist | 5350 Wye Creek Dr, Frederick, MD 21703-6939 | 2014-03-17 |
| 1427330547 | Molly E Rich | Radiologic Technologist | 4408 Burkes Promise Dr., Bowie, MD 20720-4697 | 2011-09-14 |
| 1093907438 | Vascular Imaging Associates,llc | Radiologic Technologist | 10408 Pookey Way, Upper Marlboro, MD 20774-6043 | 2007-08-09 |
| 1568652626 | Nigel A Thomas | Radiologic Technologist | 17811 Singh Ct, Accokeek, MD 20607-3288 | 2007-07-25 |
| 1750573192 | Mark Kendall Bates | Radiologic Technologist | 10408 Pookey Way, Upper Marlboro, MD 20774-6043 | 2007-08-09 |
| 1851431894 | Center for Advanced Vascular Studies, LLC | Radiologic Technologist | 826 Washington Rd, Suite 207, Westminster, MD 21157-5750 | 2007-02-07 |
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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.