MRS. TAMARA T PETRIDES


Address: 2000 Edgewood St, Baltimore, MD 21216-2537
Phone: 4103960737

MRS. TAMARA T PETRIDES (NPI# 1225097264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225097264
Entity Type Individual
Full Name MRS. TAMARA T PETRIDES
Credential PNP
Practice Address 2000 Edgewood St
Baltimore
MD 21216-2537
Mailing Address 1905 Reuter Rd
Timonium
MD 21093-4326
Practice Telephone 4103960737
Enumeration Date 2006-03-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R099609 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2000 EDGEWOOD ST
City BALTIMORE
State MD
Zip Code 21216-2537

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619434883 Vineeta Lowell Porter Social Worker 2000 Edgewood St, Baltimore, MD 21216-2537 2019-02-25
1710360110 Johns Hopkins University Pediatrics 2000 Edgewood St, Baltimore, MD 21216-2537 2015-07-02
1972845675 Tresa Marie Schumann Wiggins Nurse Practitioner 2000 Edgewood St, Baltimore, MD 21216-2537 2013-03-20
1336355734 Baltimore City Health Department Sbhc Clinic/Center 2000 Edgewood St, Baltimore, MD 21216-2537 2007-05-15
1144341009 Laurie Scudder Nurse Practitioner 2000 Edgewood St, Walbrook High School Based Health Center, Baltimore, MD 21216-2537 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083279343 Matanmi Olusesan Kuforiji Social Worker 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 2019-05-02
1003389602 Michelle Antoinette Goines Social Worker 1522 N Ellamont St, Baltimore, MD 21216 2019-01-07
1780178764 Lifespring Laboratories Clinical Medical Laboratory 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 2018-06-21
1467980896 Patricia Ann Harriott Counselor 3312alto Rd., Baltimore, MD 21216 2017-05-30
1538549209 Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. Durable Medical Equipment & Medical Supplies 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 2015-06-08
1649461500 Issac Corrette Evans Jr. Adult Companion 2810 Harlem Ave, Baltimore, MD 21216 2007-08-06
1396824959 Linda S Miles Dentist 4155 Patterson Ave, Baltimore, MD 21216 2006-11-03
1902913197 Miriam W Ingram Nurse Practitioner 3102 N Hilton Street, Baltimore, MD 21216 2006-08-24
1326065905 Linda P Weisburger Nurse Practitioner 2001 N Warwick Ave, Baltimore, MD 21216 2006-07-17
1972502680 Shavon Trenice Darden Nurse Practitioner 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 2005-07-15
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003420282 Mary Claire Perry Nurse Practitioner 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 2020-09-03
1629563879 Ashley C Sayles Nurse Practitioner 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 2018-06-28
1396237673 Kinderhealth, LLC Nurse Practitioner 10 W West St, Baltimore, MD 21230 2018-06-03
1306378120 Teddi Roseman Nurse Practitioner 22 S Greene St Rm N5e16, Baltimore, MD 21201-1544 2017-03-30
1295280873 Sarah Schlotterbeck Perl Nurse Practitioner 6711 Evanston Rd, Baltimore, MD 21209-3865 2016-08-24
1710333448 Rachel Levy Nurse Practitioner 7010 Wallis Ave, Baltimore, MD 21215-1711 2016-05-12
1427425875 Bernadette Russell Nurse Practitioner 1213 Harbor Island Walk, Baltimore, MD 21230-5461 2015-09-01
1750766879 Laura Gertz Nurse Practitioner 1400 Orleans St, Baltimore, MD 21231-1021 2015-07-30
1336520402 Clifton Peter Thornton Nurse Practitioner 1800 Orleans St Rm 11356, Baltimore, MD 21287-0010 2015-06-15
1295131332 Erin Sherman Nurse Practitioner 306 Murdock Rd, Baltimore, MD 21212-1825 2014-11-18
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Competitor

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City BALTIMORE
Zip Code 21216

Improve Information

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Dataset Information

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.

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