SAINT PAUL PLACE SPECIALISTS, INC. (NPI# 1245277870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245277870 |
| Entity Type | Organization |
| Organization Name | SAINT PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
301 Saint Paul Pl Dept of General Surgery Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 64075 Baltimore MD 21264-4075 |
| Practice Telephone | 4103329265 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT A EDWARDS (SR, VP) |
| Authorized Official Telephone | 4109511773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUECHOICE | S186 | 01 |
| MD | BC / BS OF MD | KG65 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053352070 | Saint Paul Place Specialists, Inc. | Pathology | 345 St. Paul Place, 7th Floor, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1548201809 | Saint Paul Place Specialists, Inc. | Obstetrics & Gynecology | 301 Saint Paul Pl, 1st Floor Tower, Adc, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1639110919 | Saint Paul Place Specialists, Inc. | Obstetrics & Gynecology | 1777 Reisterstown Rd, Ste 235c, Pikesville, MD 21208-1306 | 2006-06-09 |
| 1306887682 | Saint Paul Place Specialists, Inc. | Internal Medicine | 301 Saint Paul Pl, Burk Bldg 321, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1881635464 | Saint Paul Place Specialists, Inc. | Nuclear Medicine | 301 Saint Paul Pl, Nuclear Med, Baltimore, MD 21202-2102 | 2006-06-08 |
| 1225075856 | Saint Paul Place Specialists, Inc. | Internal Medicine | 345 St. Paul Place, 9th Floor, Baltimore, MD 21202-2102 | 2006-06-01 |
| 1336186964 | Saint Paul Place Specialists, Inc. | Internal Medicine | 227 Saint Paul Pl, 5th Floor, Baltimore, MD 21202-2001 | 2006-06-01 |
| 1609823103 | Saint Paul Place Specialists, Inc. | Anesthesiology | 301 St Paul Place, Baltimore, MD 21202 | 2006-05-28 |
| 1518913839 | Saint Paul Place Specialists, Inc. | Plastic Surgery | 227 Saint Paul Pl, 6th Floor, Baltimore, MD 21202-2001 | 2006-05-26 |
| 1427004746 | Saint Paul Place Specialists, Inc. | Radiology | 227 Saint Paul Pl, Lower Level, Baltimore, MD 21202-2001 | 2006-05-26 |
| Street Address |
301 SAINT PAUL PL DEPT OF GENERAL SURGERY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980305 | Debra A Vachon | Colon & Rectal Surgery | 301 Saint Paul Pl, Ste 400, Baltimore, MD 21202-2102 | 2005-05-27 |
| 1861046567 | Rebecca Whitlock Grochowski | Nurse Practitioner | 301 Saint Paul Pl, Dept of Med, Baltimore, MD 21202-2165 | 2019-07-31 |
| 1891348660 | Sarah Olsen Gallo | Nurse Practitioner | 301 Saint Paul Pl, Baltimore, MD 21202-2165 | 2019-07-22 |
| 1124423090 | Janene Michelle Levy | Nurse Practitioner | 301 Saint Paul Pl, Suite 509, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1790180669 | Lucy King | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1235534645 | Nicole Bonanni | Physician Assistant | 301 Saint Paul Pl, The Orthopedic Specialty Hospital, Baltimore, MD 21202-2102 | 2014-10-28 |
| 1952705352 | Amanda Boyer | Physician Assistant | 301 Saint Paul Pl, Er Dept., Baltimore, MD 21202-2102 | 2014-10-14 |
| 1083014922 | Matthew Charles Perry | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-08-28 |
| 1396153946 | Christopher Mathews | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-28 |
| 1891102067 | Ryan Thomas Carter | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| 1477895266 | Anna Liveris | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201 | 2013-03-20 |
| 1538411657 | Sidney S. Mir | Surgery | 7905 Ellenham Ave, Baltimore, MD 21204-3523 | 2012-10-12 |
| 1285980854 | Noeline Rajarajan I | Surgery | 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 | 2012-08-01 |
| 1043565401 | Ouseph Janso Padickakudi | Surgery | 600 N. Wolfe Street, 655 Blalock, Johns Hopkins Hospital, Department of Surgery, Baltimore, MD 21287 | 2012-07-20 |
| 1770844888 | Mohammed Asif | Surgery | 4940 Eastern Ave # P34-13, Baltimore, MD 21224 | 2012-06-05 |
| 1285994020 | William Robert Leeper | Surgery | 1800 Orleans Street, Sheik Zayed Tower, Suite 6107, Baltimore, MD 21287 | 2012-05-28 |
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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.