IRINA KONSTANTINOVNA BAUM (NPI# 1093354920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093354920 |
| Entity Type | Individual |
| Full Name | IRINA KONSTANTINOVNA BAUM |
| Other Name | IRINA SHIELDS |
| Credential | NP |
| Practice Address |
3893 Fortress Ct Hampstead MD 21074-1790 |
| Practice Telephone | 2405932301 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
R211137 | MD | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
R211137 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
3893 FORTRESS CT |
| City | HAMPSTEAD |
| State | MD |
| Zip Code | 21074-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306987565 | Thomas P Kenney | Optometrist | 1631 N Main Street, Hampstead, MD 21074 | 2007-02-09 |
| 1649348798 | Resh Family Dentistry | Dentist | Box 198, 1306 N Main St, Hampstead, MD 21074 | 2006-11-30 |
| 1649344409 | Sarah Jennifer Frattali | Internal Medicine | 4231 Northwood Drive, Hampstead, MD 21074 | 2006-11-20 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1639257066 | Eugene Duston Mersinger | Dentist | 695 Hanover Road, Hampstead, MD 21074 | 2006-11-02 |
| 1720162100 | Jon Michael Breakey | Physical Therapist | 1801 Hanover Pike, Hampstead, MD 21074 | 2006-10-24 |
| 1942395322 | Kimberly Louise Locati-boucher | Occupational Therapist | 1208 Woodland Court, Hampstead, MD 21074 | 2006-10-03 |
| 1477656130 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Hanover Pike, Hampstead, MD 21074 | 2006-09-07 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1255364584 | Weis Markets Inc | Pharmacy | 720 Hanover Pike, Hampstead, MD 21074 | 2006-07-09 |
| Find all providers in zip 21074 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245371 | Cynthia Tessie | Family Medicine | 1398 Hawthorn Dr, Hanover, MD 21076-2197 | 2020-11-05 |
| 1972140242 | Abisola Omowumi Alade | Family Medicine | 9312 Silver Charm Dr, Randallstown, MD 21133-4610 | 2019-12-05 |
| 1336799634 | Abosede Adeniji Sakariyah | Family Medicine | 18403 Woodhouse Ln, Germantown, MD 20874-4110 | 2019-09-18 |
| 1962960229 | Parkville Medical Group LLC | Family Medicine | 1721 Belfast Rd, Sparks, MD 21152-9786 | 2019-03-06 |
| 1548665771 | Robert Charles Frey | Family Medicine | 801 Richardson Dr, Harwood, MD 20776-9463 | 2014-10-30 |
| 1639571573 | C. Gottfried Baumann | Family Medicine | 8293 Brices Mill Rd, Chestertown, MD 21620-4678 | 2014-09-23 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1750623393 | William Nicholas Fishbein | Family Medicine | 13549 Scottish Autumn Ln, Gaithersburg, MD 20878-3990 | 2013-03-21 |
| 1114273844 | Kum Hai Lee | Family Medicine | 815 Woodley Dr, Rockville, MD 20850-2033 | 2012-07-31 |
| 1366726358 | Narciso A De Borja | Family Medicine | 6615 Reisterstown Rd Fl 1, Baltimore, MD 21215-2686 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
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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.