GUARDIAN THERAPEUTIC CENTER (NPI# 1093109951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093109951 |
| Entity Type | Organization |
| Organization Name | GUARDIAN THERAPEUTIC CENTER |
| Practice Address |
3350 Wilkens Ave Suite-302 Baltimore MD 21229-4600 |
| Practice Telephone | 4103949696 |
| Practice Fax Number | 4435523748 |
| Mailing Telephone | 4103949696 |
| Mailing Fax Number | 4435523748 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | MR. GEORGE OBATUASE (ADMINISTRATOR) |
| Authorized Official Telephone | 4103949696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
MH-1549 | MD | Ambulatory Health Care Facilities |
| Street Address |
3350 WILKENS AVE SUITE-302 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253891 | David Charles Paton | Acupuncturist | 3350 Wilkens Ave, Ste 101, Baltimore, MD 21229-4600 | 2005-08-23 |
| 1588010417 | Journey In The Garden Inc | Social Worker | 3350 Wilkens Ave, Suite 301, Baltimore, MD 21229-4600 | 2016-05-10 |
| 1851797716 | Kristen Eileen Mcmahon | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2014-11-05 |
| 1073925954 | Daniel Bennett | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2014-05-27 |
| 1194158121 | Jared Alan Patton | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2013-08-13 |
| 1811336274 | Jonathan Coulson | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2013-06-19 |
| 1013222793 | Roberta J Schneller | Physician Assistant | 3350 Wilkens Ave, Suite 101, Baltimore, MD 21229-4600 | 2010-08-18 |
| 1134441314 | William Dvorine,mdpa | Case Management | 3350 Wilkens Ave, Baltimore, MD 21229-4600 | 2010-02-16 |
| 1669603379 | Deborah J Kim | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2009-07-29 |
| 1649401308 | Bruna C Fonseca | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2009-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352659 | Devout Healthcare Services Inc. | Clinic/Center | 6600 York Rd Ste 104, Baltimore, MD 21212-2092 | 2018-07-02 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1740707140 | Global Healthcare Systems, Inc | Clinic/Center | 1045 Taylor Ave Ste 104, Baltimore, MD 21286-8315 | 2017-08-25 |
| 1962893768 | St Paul & Biddle Medical Assoc. | Clinic/Center | 1721 Ramblewood Rd, Baltimore, MD 21239-3040 | 2015-02-15 |
| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
| 1437759735 | Choices Integrative Healthcare, Inc. | Clinic/Center | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-27 |
| 1295214617 | Compassionate Health Services LLC | Clinic/Center | 9403 Harford Rd Ste 6, Baltimore, MD 21234-3123 | 2018-08-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1174077796 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 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.