CHARM CITY PRIMARY CARE, PC (NPI# 1114321767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114321767 |
| Entity Type | Organization |
| Organization Name | CHARM CITY PRIMARY CARE, PC |
| Practice Address |
2220 Reisterstown Rd Baltimore MD 21217-1928 |
| Mailing Address |
6041 Winter Grain Path Ste #1f Clarksville MD 21029-1224 |
| Practice Telephone | 3016751296 |
| Practice Fax Number | 4435350773 |
| Mailing Telephone | 3016751296 |
| Mailing Fax Number | 4435350773 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2015-10-02 |
| Authorized Official Name | DR. DEVESH DHRUVA KANJARPANE (PROVIDER/OWNER) |
| Authorized Official Telephone | 3016751296 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
D0040076 | MD | Allopathic & Osteopathic Physicians |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D40076 | MD | Ambulatory Health Care Facilities |
| Street Address |
2220 REISTERSTOWN RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| 1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1720597420 | Margaret Temitayo Owolabi | Clinic/Center | 5513 York Rd, Baltimore, MD 21212-3804 | 2017-09-25 |
| 1467714618 | Community Care Center Corporation | Clinic/Center | 1216 E Baltimore St, Attn: Community Care Center, Baltimore, MD 21202-4710 | 2012-06-13 |
| 1033716329 | Divine Care Family Practice, LLC | Clinic/Center | 6018 Harford Rd, Baltimore, MD 21214-1327 | 2020-10-08 |
| 1821628801 | Familycare Nurse Practitioner LLC | Clinic/Center | 2300 Garrison Blvd Ste 100, Baltimore, MD 21216-2308 | 2020-01-19 |
| 1902448335 | Jade Health & Wellness, LLC | Clinic/Center | 3301 Belair Rd, Baltimore, MD 21213-1257 | 2019-10-17 |
| 1871154278 | Clinic Management and Development Services, Inc. | Clinic/Center | 1850 N Milton Ave, Baltimore, MD 21213-2549 | 2019-06-26 |
| 1760941041 | North Point Medical Group, LLC | Clinic/Center | 2805 N Point Rd, Baltimore, MD 21222-2413 | 2019-03-18 |
| 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.