GEORGE THOMAS GRACE, M.D., P.A. (NPI# 1235254111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235254111 |
| Entity Type | Organization |
| Organization Name | GEORGE THOMAS GRACE, M.D., P.A. |
| Practice Address |
300 Frederick Rd Suite 200 Baltimore MD 21228-4665 |
| Practice Telephone | 4107440900 |
| Mailing Telephone | 4107440900 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. GEORGE THOMAS GRACE (OWNER) |
| Authorized Official Telephone | 4107440900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RAILROAD MEDICARE | CH9600 | 01 |
| MD | 383691600 | 05 |
| Street Address |
300 FREDERICK RD SUITE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-4665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128903 | Kerry Elizabeth Owens | Plastic Surgery | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4665 | 2005-07-14 |
| 1720227176 | St. Agnes Healthcare, Inc. | Clinic/Center | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4665 | 2009-02-09 |
| 1386848034 | George T. Grace, M.d. Surgery Center | Clinic/Center | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4665 | 2007-06-14 |
| 1184832586 | Maakan Taghizadeh | Plastic Surgery | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4665 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956593 | Tara Marcell Pettiford | Specialist | 3530 E Northern Pkwy, Baltimore, MD 21206-1632 | 2020-09-14 |
| 1144876806 | Dominic T Mitchell | Specialist | 4626 Kavon Ave, Baltimore, MD 21206-5706 | 2019-08-17 |
| 1164083101 | Chana Cohen | Specialist | 6417 Elray Dr Apt A, Baltimore, MD 21209-2928 | 2019-06-20 |
| 1619477742 | Colleen Marie Berry | Specialist | 7222 Fairbrook Rd, Baltimore, MD 21244-1751 | 2018-02-15 |
| 1104372853 | Clarkview Physicians | Specialist | 1427 Clarkview Road, 300, Baltimore, MD 21209 | 2016-08-31 |
| 1780055343 | Patricia M Disharoon Md | Specialist | 3414 Saint Paul St, Baltimore, MD 21218-2701 | 2015-10-08 |
| 1841673514 | Yen-i Chen | Specialist | 915 S Wolfe St Apt 529, Baltimore, MD 21231-3651 | 2015-06-30 |
| 1891184990 | Sean Raphaely | Specialist | 3619 Glengyle Ave, Baltimore, MD 21215-1556 | 2015-01-13 |
| 1144645862 | Miguel Reyes | Specialist | 11550 Crossroads Cir Unit 424, Baltimore, MD 21220-2975 | 2014-03-04 |
| 1336499722 | Holly A. Nelson, Pediatric Occupational Therapy, LLC | Specialist | 3811 Crestvale Ter, Baltimore, MD 21236-5201 | 2012-09-13 |
| 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.