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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R099609 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2000 EDGEWOOD ST |
City | BALTIMORE |
State | MD |
Zip Code | 21216-2537 |
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 |
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 |
Find all providers in zip 21216 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
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.