SUSAN MASTELLONE (NPI# 1255379822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255379822 |
| Entity Type | Individual |
| Full Name | SUSAN MASTELLONE |
| Credential | DO |
| Practice Address |
3001 S Hanover St Baltimore MD 21225-1233 |
| Mailing Address |
12443 Petrillo Dr Highland MD 20777-9567 |
| Practice Telephone | 4103503509 |
| Practice Fax Number | 4103503511 |
| Mailing Telephone | 3018542120 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | H55662 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
3001 S HANOVER ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21225-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044900 | Julie A Price | Specialist | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2005-06-28 |
| 1477152775 | Jennifer Anyika | Nurse Practitioner | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-10-19 |
| 1134736101 | Carla Denise Youngblood | Health Educator | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-09-24 |
| 1285241240 | Rebecca Jean Illingworth | Community Health Worker | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-09-24 |
| 1982211942 | Antoine Langley | Community Health Worker | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2020-09-24 |
| 1780238709 | Brianna Tapp | Physician Assistant | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2019-07-29 |
| 1679057574 | Sara Peuster | Specialist/Technologist | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-09-18 |
| 1457839383 | Sona Aloyan | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Department of Medicine, Baltimore, MD 21225-1233 | 2018-08-02 |
| 1932695665 | Tilachan Parajuli | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-07-05 |
| 1952897811 | Fatima Hafizi | Student in an Organized Health Care Education/Training Program | 3001 S Hanover St, Baltimore, MD 21225-1233 | 2018-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471893 | Portia Irene Chipendo | Emergency Medicine | 1830 E Monument St Ste 6, Baltimore, MD 21287-0020 | 2016-03-30 |
| 1780062695 | Michael Gorynski | Emergency Medicine | 4940 Eastern Ave Fl 1s, Baltimore, MD 21224-2735 | 2015-05-12 |
| 1922494392 | Michael Robbins | Emergency Medicine | 1303 Union Ave, Baltimore, MD 21211-1904 | 2015-04-12 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1780001883 | Michael Weldon Diana | Emergency Medicine | The Johns Hopkins Hospital Department Of, 1800 Orleans Street, Baltimore, MD 21287 | 2014-03-26 |
| 1083031330 | Rittik Chaudhuri | Emergency Medicine | 5801 Smith Ave Ste 220, Baltimore, MD 21209-3607 | 2014-03-25 |
| 1780025700 | Nicholas Pereira Risko | Emergency Medicine | 6 S Collington Ave, Baltimore, MD 21231-2011 | 2013-07-08 |
| 1871852962 | Maryland Emergency Medicine Network Physicians, LLC | Emergency Medicine | 323 W Camden St, Baltimore, MD 21201 | 2012-05-09 |
| 1760758254 | Casey Lee Wilson | Emergency Medicine | Jhh 1830 E Monument St, 6-100, Baltimore, MD 21287-0001 | 2012-03-28 |
| 1295027837 | Anastasia Grivoyannis | Emergency Medicine | 1800 Orleans St Ste 6321, Baltimore, MD 21287-0010 | 2011-05-13 |
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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.