DR. FIDELIS CAROLINE DEFINE (NPI# 1245474063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245474063 |
Entity Type | Individual |
Full Name | DR. FIDELIS CAROLINE DEFINE |
Credential | MD |
Practice Address |
6701 N Charles St 4104 Towson MD 21204-6808 |
Practice Telephone | 4102277149 |
Practice Fax Number | 4105613911 |
Enumeration Date | 2009-04-23 |
Last Update Date | 2009-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
DOOO4251 | MD | Allopathic & Osteopathic Physicians |
Street Address |
6701 N CHARLES ST 4104 |
City | TOWSON |
State | MD |
Zip Code | 21204-6808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503139 | Javariya Nisar | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-09-22 |
1962021766 | Alisha Gonzales | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2020-04-11 |
1013544519 | Aloise Diedrich | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-25 |
1144857509 | Eric Mbugua Thuo | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-25 |
1194352773 | Vignesh Kartik Harish | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6808 | 2020-03-24 |
1184251779 | Ayesha Khan | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
1538796123 | Fatima Abdullahi Halilu | Student in an Organized Health Care Education/Training Program | 6701 N Charles St, Towson, MD 21204-6881 | 2020-03-24 |
1093350365 | Larissa Cooley | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-11-11 |
1962052142 | Patricia Hallman | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-09-18 |
1972150019 | Kimberly Welch Blay | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2019-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
Find all providers in zip 21204 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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1619514049 | Dundalk Medical Group | Internal Medicine | 207 Wise Avenue, Dundalk, MD 21222-4911 | 2019-12-04 |
1356801534 | Matclinic Physicians Practice Group LLC | Internal Medicine | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2019-03-22 |
1326525973 | Behavioral Health Leadership Institute, Inc | Internal Medicine | 401 Edgar Street (van), Baltimore, MD 21202 | 2018-07-26 |
1760913297 | Rek Advanced Therapeutic Solutions | Internal Medicine | 6419 York Rd # A, Ste 100, Baltimore, MD 21212-2144 | 2017-03-26 |
1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
1033323795 | Harry Calvin Stein | Internal Medicine | 11140 Rockville Pike Ste 400, Rockville, MD 20852-3104 | 2007-05-10 |
1093738635 | Nurul Amin Chowdhury | Internal Medicine | 5721 Grosvenor Ln, Bethesda, MD 20814-1833 | 2006-07-25 |
1770575326 | Howard Byron Cohen | Internal Medicine | 6717 Park Heights Ave, Baltimore, MD 21215-2443 | 2005-08-19 |
1407402506 | Mitchell Ira Burken | Internal Medicine | 5716 Industry Ln, Frederick, MD 21704-5224 | 2019-08-14 |
1497161483 | Chase Brexton Health Care | Internal Medicine | 200 Hospital Drive, Suite 300, Glen Burnie, MD 21061-5877 | 2014-07-10 |
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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.