DR. JEREMY ANDREW MICHALKE (NPI# 1104951292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104951292 |
| Entity Type | Individual |
| Full Name | DR. JEREMY ANDREW MICHALKE |
| Credential | M.D. |
| Practice Address |
6701 N Charles St Kaiser Permanente Greater Baltimore Medical Center Towson MD 21204-6808 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 4438492000 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D66035 | MD | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | C7-0002946 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 412740400 | 05 | |
| MD | 451601000 | 05 | |
| MD | RAILROAD | P00418710 | 01 |
| Street Address |
6701 N CHARLES ST KAISER PERMANENTE GREATER BALTIMORE MEDICAL CENTER |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503139 | Javariya Nisar | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-09-22 |
| 1962021766 | Alisha Gonzales | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2020-04-11 |
| 1013544519 | Aloise Diedrich | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-25 |
| 1144857509 | Eric Mbugua Thuo | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-25 |
| 1194352773 | Vignesh Kartik Harish | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-24 |
| 1184251779 | Ayesha Khan | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
| 1538796123 | Fatima Abdullahi Halilu | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
| 1093350365 | Larissa Cooley | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-11-11 |
| 1962052142 | Patricia Hallman | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-09-18 |
| 1972150019 | Kimberly Welch Blay | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861718587 | Justin Thomas Koch | Emergency Medicine | 809 Glen Eagles Ct, Suite 101, Towson, MD 21286-2202 | 2010-04-20 |
| 1164639597 | Michael Mccall Miller | Emergency Medicine | 809 Gleneagles Ct, Towson, MD 21286-2202 | 2007-05-16 |
| 1801820477 | Richard A Tempel | Emergency Medicine | St Joseph Medical Center, 7601 Osler Drive, Towson, MD 21204 | 2006-07-10 |
| 1730142654 | Eric J Beauvois | Emergency Medicine | Saint Joseph Medical Center, 7601 Osler Drive, Towson, MD 21204 | 2006-04-11 |
| 1700850039 | Scott Theodore Burger | Emergency Medicine | 1220a E Joppa Rd, Suite 109, Towson, MD 21286-5812 | 2006-02-14 |
| 1497758056 | Fabrice Czarnecki | Emergency Medicine | 7601 Osler Dr, Towson, MD 21204-7700 | 2005-05-27 |
| 1518224252 | Mohini Kaur Bedi | Emergency Medicine | 7601 Osler Dr, Towson, MD 21204-7700 | 2012-04-19 |
| 1255591061 | Joseph Gregory Krecz | Emergency Medicine | 6701 North Charles Street, Towson, MD 21204-6808 | 2008-06-15 |
| 1598923203 | Bernstein Medical, Ltd | Emergency Medicine | 8601 Lasalle Rd, Suite 104, Towson, MD 21286-2004 | 2008-05-29 |
| 1750556098 | Chidiebere Uzoma Ekeocha | Emergency Medicine | 7601 Osler Dr, Towson, MD 21204-7700 | 2008-04-28 |
| Find all providers in TOWSON | ||||
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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.