DR. JACOB TENDLER (NPI# 1194786996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194786996 |
| Entity Type | Individual |
| Full Name | DR. JACOB TENDLER |
| Credential | MD |
| Practice Address |
120 Sister Pierre Dr Suite 501 Towson MD 21204-7516 |
| Practice Telephone | 4103376800 |
| Mailing Telephone | 4103376800 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
D24868 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
120 SISTER PIERRE DR SUITE 501 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162078 | John Richard Bacon | Allergy & Immunology | 120 Sister Pierre Dr, Ste 201, Towson, MD 21204-7525 | 2005-05-28 |
| 1245603315 | Shannon Elaine Moore | Social Worker | 120 Sister Pierre Dr, Towson, MD 21204-7516 | 2015-11-11 |
| 1699183780 | Main Street Children's Dentistry and Orthodontics of Towson LLC | Dentist | 120 Sister Pierre Dr, 502, Towson, MD 21204-7516 | 2014-08-01 |
| 1912315920 | Shelby Schestag | Counselor | 120 Sister Pierre Dr, Towson, MD 21204-7516 | 2014-07-23 |
| 1104255702 | Sally Habib, M.d.,llc | Internal Medicine | 120 Sister Pierre Dr, Suite 306, Towson, MD 21204-7516 | 2013-11-04 |
| 1174882153 | Erin Rae Tancemore | Social Worker | 120 Sister Pierre Dr, Suite 407, Towson, MD 21204-7516 | 2012-05-10 |
| 1841576626 | Ping Chen | Dentist | 120 Sister Pierre Dr, Suite 301, Towson, MD 21204-7516 | 2011-10-25 |
| 1669779997 | Mahin Shamszad Md PC | Internal Medicine | 120 Sister Pierre Dr, Suite 405, Towson, MD 21204-7516 | 2011-02-23 |
| 1023330792 | Michael O. Magan Md Pa | Obstetrics & Gynecology | 120 Sister Pierre Dr, Suite 303, Towson, MD 21204-7516 | 2010-02-23 |
| 1952533754 | Susie N. Chung, M.d., P.a. | Obstetrics & Gynecology | 120 Sister Pierre Dr, Ste. 303, Towson, MD 21204-7516 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063659175 | Jacob Tendler, M.d., P.a. | Psychiatry & Neurology | 120 Sister Pierre Dr, Suite 501, Towson, MD 21204-7527 | 2009-01-12 |
| 1053507301 | Liao Acupuncture Group, LLC | Psychiatry & Neurology | 7600 Osler Dr, Room 215, Towson, MD 21204-7735 | 2007-09-20 |
| 1285844118 | George D. Yannakakis | Psychiatry & Neurology | 28 Allegheny Ave, Towson, MD 21204-3909 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817516 | Ausim Chaghtai | Psychiatry & Neurology | 7404 Executive Pl # 503, Lanham, MD 20706-2268 | 2015-04-02 |
| 1568854149 | Elspeth Cameron Ritchie | Psychiatry & Neurology | 10014 Portland Pl, Silver Spring, MD 20901-2114 | 2015-02-19 |
| 1396883278 | Gary William Nyman | Psychiatry & Neurology | 2 Hamill Rd, # 354, Baltimore, MD 21210-1806 | 2007-02-02 |
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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.