THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. (NPI# 1154647303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154647303 |
| Entity Type | Organization |
| Organization Name | THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. |
| Practice Address |
5601 Loch Raven Blvd Baltimore MD 21239-2905 |
| Practice Telephone | 4434448000 |
| Mailing Telephone | 4434448000 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | DEANA L. STOUT (V.P. OF FINANCE) |
| Authorized Official Telephone | 4434443841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/CS MD | D49TGO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1437396959 | The Good Samaritan Hospital of Maryland, Inc. | Dietitian, Registered | 5601loch Raven Blvd., Baltimore, MD 21239-2095 | 2009-01-21 |
| 1881910032 | The Good Samaritan Hospital of Maryland, Inc. | Internal Medicine | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2010-04-13 |
| 1740503945 | The Good Samaritan Hospital of Maryland, Inc. | Counselor | 5601 Loch Raven Blvd, Russell Morgan Building, Suite 406, Baltimore, MD 21239-2905 | 2010-03-03 |
| 1528290830 | The Good Samaritan Hospital of Maryland, Inc. | Internal Medicine | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1942432257 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Pob, Suite 106, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1801028105 | The Good Samaritan Hospital of Maryland, Inc. | Internal Medicine | 5601 Loch Raven Blvd, Rmb, Suite 103, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1568694875 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1225276702 | The Good Samaritan Hospital of Maryland, Inc. | Psychiatry & Neurology | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-01-22 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639502313 | Nasseri Clinic of Arthritic & Rheumatic Diseases | Internal Medicine | 6821 Reisterstown Rd # 106, Baltimore, MD 21215-1431 | 2013-08-16 |
| 1144563164 | Dana Dominique Direnzo | Internal Medicine | 5501 Hopkins Bayview Cir Bldg Suite1b1, Baltimore, MD 21224-6821 | 2013-03-27 |
| 1326312364 | Jq Associates, LLC | Internal Medicine | 2542 Quarry Lake Dr, Ste 105, Baltimore, MD 21209-3759 | 2012-03-07 |
| 1225224314 | Asia Mubashir | Internal Medicine | 1220b E Joppa Rd Ste 310, Baltimore, MD 21286 | 2007-09-21 |
| 1538205224 | Shikha Mittoo Nanda | Internal Medicine | The Johns Hopkins Hospital 600 North Wolfe St, Baltimore, MD 21287-0001 | 2007-01-29 |
| 1487714150 | Margaret A. Fountain | Internal Medicine | Executive Center At Hooks Lane, 2 Resevoir Circle, Suite 105, Baltimore, MD 21208 | 2006-12-11 |
| 1508958026 | Charles E Griffith IIi | Internal Medicine | Rheumatology Associates of Baltimore LLC, 1220b East Joppa Road Suite 310, Baltimore, MD 21286-5704 | 2006-09-29 |
| 1407881063 | Lynn Marie Billingsley | Internal Medicine | 5601 Loch Raven Blvd Suite 200, Good Samaritan Professional Building, Baltimore, MD 21239-2905 | 2006-07-12 |
| 1548206683 | Michelle A Petri | Internal Medicine | 1830 E Monument St Ste 7500, Baltimore, MD 21287-0009 | 2006-06-20 |
| 1750328308 | Rida Anis Frayha | Internal Medicine | 3640 Fords Ln, Suite E, Baltimore, MD 21215-2931 | 2006-06-01 |
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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.