DR. KATHERINE HANNA TKACZUK (NPI# 1225079601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225079601 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE HANNA TKACZUK |
| Credential | M.D. |
| Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
| Mailing Address |
Po Box 62602 Baltimore MD 21264-2602 |
| Practice Telephone | 4103282567 |
| Practice Fax Number | 4103286896 |
| Mailing Telephone | 4103282567 |
| Mailing Fax Number | 4103286896 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
D36146 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 182931900 | 05 | |
| MD | BLUE CROSS/BLUE SHIELD | 529986-01 | 01 |
| Street Address |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616873 | Christian Rolfo | Internal Medicine | 22 S Greene St # S9d, Baltimore, MD 21201-1591 | 2018-04-18 |
| 1124344692 | William Brian Dalton | Internal Medicine | Johns Hopkins Sidney Kimmel Ctr, 1650 Orleans St. Crb1 191, Baltimore, MD 21287-0001 | 2010-04-08 |
| 1134381692 | Cesar Augusto Santa-maria | Internal Medicine | 1650 Orleans St # 155, Baltimore, MD 21287-0013 | 2008-06-26 |
| 1457495483 | Mei Tang | Internal Medicine | 6569 N Charles St Ste 201, Baltimore, MD 21204-6831 | 2007-02-15 |
| 1124185236 | Michele Kim Evans | Internal Medicine | 5600 Nathan Shock Dr, Mailbox 09 National Institute On Aging, Baltimore, MD 21224-6825 | 2007-01-02 |
| 1326159674 | Louise B Grochow | Internal Medicine | Johns Hopkins Hosp Oncology Ctg C/o Martin Abeloff, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2006-08-31 |
| 1760411326 | Ranee Mehra | Internal Medicine | 1550 Orleans St, Crb II 5m.43, Baltimore, MD 21287-0014 | 2006-07-03 |
| 1538102603 | Judy Lyn Hetherington | Internal Medicine | 10753 Falls Road Pavilion II, Baltimore, MD 21093 | 2006-06-14 |
| 1992761050 | Ivan Marques Borrello | Internal Medicine | 1650 Orleans St, Crb-1 Rm 453, Baltimore, MD 21263-0001 | 2006-04-25 |
| 1972087781 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-09-18 |
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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.