THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC (NPI# 1194957498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194957498 |
| Entity Type | Organization |
| Organization Name | THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC |
| Practice Address |
5601 Loch Raven Blvd Pob, Suite G3 Baltimore MD 21239-2905 |
| Mailing Address |
5601 Loch Raven Blvd Baltimore MD 21239-2905 |
| Practice Telephone | 4434444275 |
| Mailing Telephone | 4434448000 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | DEANA STOUT (V.P. OF FINANCE) |
| Authorized Official Telephone | 4434443841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/BS DC | P053 | 01 |
| MD | CAREFIRST BC/BS MD | F292HY | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326270638 | The Good Samaritan Hospital of Maryland, Inc | Internal Medicine | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1477785780 | The Good Samaritan Hospital of Maryland, Inc | Orthopaedic Surgery | 5601 Loch Raven Blvd, Rmb, Suite 405, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1477637734 | The Good Samaritan Hospital of Maryland, Inc | Skilled Nursing Facility | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2006-10-24 |
| 1336223601 | The Good Samaritan Hospital of Maryland, Inc | Clinic/Center | 5009 Frankford Ave, Baltimore, MD 21206-5353 | 2006-10-24 |
| 1609950971 | The Good Samaritan Hospital of Maryland, Inc | Clinic/Center | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2006-10-24 |
| 1134218571 | The Good Samaritan Hospital of Maryland, Inc | Clinic/Center | 8710 Emge Rd, Baltimore, MD 21234-3504 | 2006-10-12 |
| 1811086259 | The Good Samaritan Hospital of Maryland, Inc | Clinic/Center | 6600 Ridge Rd, Baltimore, MD 21237-4209 | 2006-10-12 |
| 1811084718 | The Good Samaritan Hospital of Maryland, Inc | Rehabilitation Unit | 5601 Loch Raven Blvd, Baltimore, MD 21239 | 2006-10-10 |
| Street Address |
5601 LOCH RAVEN BLVD POB, SUITE G3 |
| 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 | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558704064 | Sinead Nyhan | Anesthesiology | 1800 Orleans St # 9127, Baltimore, MD 21287-0010 | 2013-04-15 |
| 1881983534 | Curtis Charles Copeland | Anesthesiology | 22 S Greene St T4m14, Baltimore, MD 21202-1544 | 2011-04-04 |
| 1730484999 | Blake Paterson | Anesthesiology | Jhu Dept Anesthesiology and Critical Care, 600 N. Wolfe Street, Blalock 1408, Baltimore, MD 21287-0001 | 2011-01-20 |
| 1689801292 | Kathleen Michelle Tyson | Anesthesiology | 1800 Orleans St # 8-120, Baltimore, MD 21287-0010 | 2009-06-22 |
| 1881838977 | Anjali Dogra | Anesthesiology | 600 N Wolfe Street, Meyer 299c, The Johns Hopkins Medical Institutions, Baltimore, MD 21287 | 2009-04-21 |
| 1487859021 | Gillian R Isaac | Anesthesiology | 600 N Wolfe St # 1415, Baltimore, MD 21287-0005 | 2007-06-15 |
| 1467408351 | Paul Alan Nyquist | Anesthesiology | 600 N Wolfe St Ste 455, Baltimore, MD 21287 | 2006-05-25 |
| 1306321708 | Mary Herc | Anesthesiology | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-10-01 |
| 1952763625 | Kristen Cercone | Anesthesiology | 1800 Orleans St, Baltimore, MD 21287-0010 | 2016-03-22 |
| 1003297128 | Sarah Kumar | Anesthesiology | 22 S Greene St, Baltimore, MD 21201-1544 | 2015-06-15 |
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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.