ST PAUL PLACE SPECIALISTS, INC. (NPI# 1174564736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174564736 |
| Entity Type | Organization |
| Organization Name | ST PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
227 Saint Paul Place 4th Floor Baltimore MD 21202-2001 |
| Mailing Address |
Po Box 824173 Philadelphia PA 19182-4173 |
| Practice Telephone | 4107835858 |
| Practice Fax Number | 4107835864 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | ROBERT A EDWARDS (SR, VP) |
| Authorized Official Telephone | 4106592802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CHOICE | S 186 | 01 |
| MD | MEDICARE | 165L | 01 |
| MD | BLUE CHOICE | 9754 | 01 |
| MD | BC/BS OF MARYLAND | KG 65 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195532 | St Paul Place Specialists, Inc. | Obstetrics & Gynecology | 1777 Reisterstown Rd, Ste 210, Pikesville, MD 21208-1306 | 2007-05-18 |
| 1679618359 | St Paul Place Specialists, Inc. | Pathology | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2007-02-21 |
| 1497821839 | St Paul Place Specialists, Inc. | Dermatology | 301 St Paul Place, Baltimore, MD 21202 | 2006-11-28 |
| 1851405187 | St Paul Place Specialists, Inc. | Optometrist | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-17 |
| 1639189863 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-09 |
| 1154362473 | St Paul Place Specialists, Inc. | Neuromusculoskeletal Medicine & OMM | 301 Saint Paul Pl, #402 - Neurology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1497796775 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Pob 411, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1780630004 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Heart Center - Burk Bldg 310, Baltimore, MD 21202-2102 | 2006-05-26 |
| 1497707681 | St Paul Place Specialists, Inc. | Emergency Medicine | 301 St. Paul Place, Baltimore, MD 21202-2102 | 2006-05-16 |
| Street Address |
227 SAINT PAUL PLACE 4TH FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725853 | Womens Health Boutique Weinberg Center | Prosthetic/Orthotic Supplier | 227 Saint Paul Place, Baltimore, MD 21202-2001 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 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 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114233012 | Kenneth Miller Md LLC | Internal Medicine | 2411 West Belvedere Avenue, 202, Baltimore, MD 21215 | 2010-08-30 |
| 1548573660 | Wanqing Iris Zhi | Internal Medicine | The Sidney Kimmel Comprehensive Ctr, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2010-07-18 |
| 1073755765 | Lukasz Pawel Gondek | Internal Medicine | 1650 Orleans St # 1-290, Baltimore, MD 21287-0013 | 2009-03-27 |
| 1831331644 | Daniel Kejzman | Internal Medicine | 1650 Orleans Street, Baltimore, MD 21231-1000 | 2009-03-26 |
| 1245480607 | Jean H. Hoffman-censits | Internal Medicine | 1800 Orleans St Rm 1m40, Baltimore, MD 21287 | 2008-09-23 |
| 1467652826 | Samuel Zygler | Internal Medicine | 2524 Farringdon Rd, Baltimore, MD 21209-2543 | 2007-07-23 |
| 1710033402 | Josh David Lauring | Internal Medicine | Crb I Rm 146, 1650 Orleans St, Baltimore, MD 21287-0001 | 2007-01-26 |
| 1649385634 | Panayotis Ledakis | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| 1467460345 | Ali Cahid Civelek | Internal Medicine | 601 N Caroline St Ste 3223a, Baltimore, MD 21287-0006 | 2006-08-04 |
| 1538184056 | Mary J Wilkinson | Internal Medicine | 1800 Orleans St Fl 10, Baltimore, MD 21287-0010 | 2006-07-13 |
| 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.