DAVID ANDREW RISEBERG


Address: 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001
Phone: 4107835858

DAVID ANDREW RISEBERG (NPI# 1124133210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124133210
Entity Type Individual
Full Name DAVID ANDREW RISEBERG
Credential MD
Practice Address 227 St Paul Place
4th Floor
Baltimore
MD 21202-2001
Practice Telephone 4107835858
Practice Fax Number 4107835864
Mailing Telephone 4107835858
Mailing Fax Number 4107835864
Enumeration Date 2006-08-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
D40854 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CAREFIRST MD 52343402 01
CAREFIRST DC R8440002 01
AETNA 776075 01

Office Location

Street Address 227 ST PAUL PLACE
4TH FLOOR
City BALTIMORE
State MD
Zip Code 21202-2001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649385634 Panayotis Ledakis Internal Medicine 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 2006-08-20
1336254424 Marvin Jack Feldman Internal Medicine 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 2006-08-20

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1700430246 Ronie George Nurse Practitioner 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 2019-08-01
1750940185 Katherine Wachter Mullins Social Worker 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
1750946224 Lareneque Bartholomew Counselor 110 East Lexington Street, Suite 200, Baltimore, MD 21202 2019-05-09
1700349602 Strategies, Inc. Behavior Analysis & Therapeutic Services Behavioral Analyst 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 2019-04-09
1902384068 Medical Practice Billing and Solution, LLC Clinic/Center 224 N Gay Street, Baltimore, MD 21202 2018-08-01
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134616873 Christian Rolfo Internal Medicine 22 S Greene St # S9d, Baltimore, MD 21201-1591 2018-04-18
1124344692 William Brian Dalton Internal Medicine Johns Hopkins Sidney Kimmel Ctr, 1650 Orleans St. Crb1 191, Baltimore, MD 21287-0001 2010-04-08
1134381692 Cesar Augusto Santa-maria Internal Medicine 1650 Orleans St # 155, Baltimore, MD 21287-0013 2008-06-26
1457495483 Mei Tang Internal Medicine 6569 N Charles St Ste 201, Baltimore, MD 21204-6831 2007-02-15
1124185236 Michele Kim Evans Internal Medicine 5600 Nathan Shock Dr, Mailbox 09 National Institute On Aging, Baltimore, MD 21224-6825 2007-01-02
1326159674 Louise B Grochow Internal Medicine Johns Hopkins Hosp Oncology Ctg C/o Martin Abeloff, 600 N. Wolfe St., Baltimore, MD 21287-0001 2006-08-31
1760411326 Ranee Mehra Internal Medicine 1550 Orleans St, Crb II 5m.43, Baltimore, MD 21287-0014 2006-07-03
1538102603 Judy Lyn Hetherington Internal Medicine 10753 Falls Road Pavilion II, Baltimore, MD 21093 2006-06-14
1992761050 Ivan Marques Borrello Internal Medicine 1650 Orleans St, Crb-1 Rm 453, Baltimore, MD 21263-0001 2006-04-25
1972087781 Johns Hopkins University Internal Medicine 600 N Wolfe St, Baltimore, MD 21287-0005 2018-09-18
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Competitor

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City BALTIMORE
Zip Code 21202

Improve Information

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Dataset Information

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.

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