TERRANCE L BAKER MD (NPI# 1154476091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154476091 |
| Entity Type | Organization |
| Organization Name | TERRANCE L BAKER MD |
| Practice Address |
5601 Loch Raven Blvd Baltimore MD 21239-2905 |
| Mailing Address |
7027 Mount Vista Rd Kingsville MD 21087-1331 |
| Practice Telephone | 4105929889 |
| Practice Fax Number | 4105928464 |
| Mailing Telephone | 4105929889 |
| Mailing Fax Number | 4105928464 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRANCE LEE BAKER (OWNER) |
| Authorized Official Telephone | 4105929889 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | D0058570 | MD | Nursing & Custodial Care Facilities |
| Street Address |
5601 LOCH RAVEN BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
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| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
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| 1598973448 | Linda L Powe | Nursing Facility/Intermediate Care Facility | 200 S Rock Glen Rd, Baltimore, MD 21229-3249 | 2007-05-21 |
| 1528045986 | Joint Retirement Convent Inc | Nursing Facility/Intermediate Care Facility | 6806 Bellona Avenue, Baltimore, MD 21212-1299 | 2005-12-28 |
| 1669460754 | Little Sisters of The Poor Baltimore Inc | Nursing Facility/Intermediate Care Facility | 601 Maiden Choice Ln, St Martins Home, Baltimore, MD 21228-3630 | 2005-10-12 |
| 1265436885 | Haven Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2005-06-10 |
| 1639649312 | Arlington West Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2018-11-26 |
| 1366733727 | North Oaks At Woodholme, LLC | Nursing Facility/Intermediate Care Facility | 725 Mount Wilson Ln, Baltimore, MD 21208-1105 | 2011-04-20 |
| 1528122363 | Maryland Baptist Aged Home | Nursing Facility/Intermediate Care Facility | 2801 Rayner Ave, Baltimore, MD 21216-4628 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215301973 | Premier Therapy Services | Nursing Facility/Intermediate Care Facility | 3203 University Blvd W Apt 22, Kensington, MD 20895-1817 | 2015-11-18 |
| 1114356516 | Metero Cars | Nursing Facility/Intermediate Care Facility | 7611 Riverdale Rd Apt 302, New Carrollton, MD 20784-3750 | 2013-11-06 |
| 1275882318 | Unique Qualities, LLC | Nursing Facility/Intermediate Care Facility | 7514 Martha St, District Heights, MD 20747-3621 | 2012-09-05 |
| 1154449049 | Rainbow Adhc | Nursing Facility/Intermediate Care Facility | 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 | 2007-03-27 |
| 1033264973 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Nursing Facility/Intermediate Care Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2007-01-23 |
| 1639186695 | Coffman Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 | 2006-08-02 |
| 1629013925 | Wicomico Nursing Home | Nursing Facility/Intermediate Care Facility | 900 Booth St, Salisbury, MD 21801-3006 | 2006-06-19 |
| 1245286368 | Villa Rosa Nursing Home | Nursing Facility/Intermediate Care Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2006-05-26 |
| 1013960970 | One Price Drive Operations LLC | Nursing Facility/Intermediate Care Facility | 1 Price Dr, Elkton, MD 21921-6731 | 2006-05-19 |
| 1538159595 | Sacred Heart Home | Nursing Facility/Intermediate Care Facility | 5805 Queens Chapel Rd, Hyattsville, MD 20782-3898 | 2005-10-21 |
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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.