JOHN D PETRONIS (NPI# 1255371548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255371548 |
| Entity Type | Individual |
| Full Name | JOHN D PETRONIS |
| Credential | M.D. |
| Practice Address |
4940 Eastern Ave Baltimore MD 21224-2735 |
| Mailing Address |
Po Box 64358 Baltimore MD 21264-4358 |
| Practice Telephone | 4105502948 |
| Mailing Telephone | 4105502948 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
D29944 | MD | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D29944 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 320471500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093850448 | John J Petronis | Physical Therapist | 1206 Health Science Center South, Morgantown, WV 26506 | 2007-02-21 |
| Street Address |
4940 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295714 | Jerome M Shier | Allergy & Immunology | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2005-06-16 |
| 1740889609 | Haimanot Mulat | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-21 |
| 1457958704 | Ashley B Gemon | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-08 |
| 1235756800 | Lauren Kerrigan | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-30 |
| 1568086692 | Kathleen Campbell Mckenzie | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-04 |
| 1639791197 | Sharice Cheng | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-05-07 |
| 1679194799 | John Donald Giles | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-29 |
| 1598386971 | Meiyappan Udayappan | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-27 |
| 1972123370 | Molly Elizabeth Maresca Atwood | Psychologist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-26 |
| 1982224887 | Ofure Anita Akhiwu | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| 1386059400 | Daniel Ryan | Radiology | 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 | 2014-06-26 |
| 1538415633 | Ammar K. Al-ibraheemi | Radiology | 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 | 2012-07-26 |
| 1609165042 | Sunpreet Singh Tandon | Radiology | 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 | 2011-04-06 |
| 1639476948 | Byung Chul Yoon | Radiology | 1620 Mcelderry St Apt 515, Baltimore, MD 21205 | 2011-02-23 |
| 1730484619 | Howard Allen Davidov | Radiology | 7221 Denberg Rd, Baltimore, MD 21209-1038 | 2011-01-24 |
| 1306075056 | Elnasif Arrayeh | Radiology | 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 | 2009-07-02 |
| 1922234558 | Kristin K. Porter | Radiology | Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 | 2009-06-10 |
| 1386884302 | Elizabeth Kristine Weihe | Radiology | 601 N Caroline St # 3142, Baltimore, MD 21287-7406 | 2009-03-03 |
| 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.