DR. JACK MATTHEW TITUS (NPI# 1255418893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255418893 |
| Entity Type | Individual |
| Full Name | DR. JACK MATTHEW TITUS |
| Credential | M.D. |
| Practice Address |
111 Penn St Baltimore MD 21201-1020 |
| Mailing Address |
5720 Western Sea Run Clarksville MD 21029-1665 |
| Practice Telephone | 4103333232 |
| Practice Fax Number | 4103333063 |
| Mailing Telephone | 4105313825 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | D0055378 | MD | Other Service Providers |
| Street Address |
111 PENN ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598927220 | Zabiullah Ali | Legal Medicine | 111 Penn St, Baltimore, MD 21201-1020 | 2008-06-25 |
| 1548440563 | Patricia Ann Aronica-pollak | Legal Medicine | 111 Penn St, Baltimore, MD 21201-1020 | 2007-11-07 |
| 1164617262 | Donna Marie Vincenti | Pathology | 111 Penn St, Baltimore, MD 21201-1020 | 2007-09-11 |
| 1073704805 | Carol H Allan | Pathology | 111 Penn St, Baltimore, MD 21201-1020 | 2007-08-07 |
| 1407046774 | Ling Li | Specialist | 111 Penn St, Baltimore, MD 21201-1020 | 2007-08-01 |
| 1437282761 | David Richard Fowler | Pathology | 111 Penn St, Baltimore, MD 21201-1020 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558379958 | Carlos Astrada | Legal Medicine | 1200 E Fayette St Fl 2, Baltimore, MD 21202-4721 | 2006-08-03 |
| 1689602906 | Nalini Bhargava | Legal Medicine | 817 Maiden Choice Ln, Suite 350, Baltimore, MD 21228-3680 | 2006-06-28 |
| 1356342521 | Mohammad Khodabandelou | Legal Medicine | 614 E Patapsco Ave, Baltimore, MD 21225-1933 | 2005-08-10 |
| 1598927220 | Zabiullah Ali | Legal Medicine | 111 Penn St, Baltimore, MD 21201-1020 | 2008-06-25 |
| 1548440563 | Patricia Ann Aronica-pollak | Legal Medicine | 111 Penn St, Baltimore, MD 21201-1020 | 2007-11-07 |
| 1346453917 | Metro Industrial Medicine and Rehabilitation Inc | Legal Medicine | 2300 Garrison Blvd, Suite 192, Baltimore, MD 21216-2335 | 2007-05-08 |
| 1508929571 | Patrick William White | Legal Medicine | 405 Frederick Rd, Suite 202, Baltimore, MD 21228-4645 | 2006-12-19 |
| 1669457172 | Debra Sue Wertheimer | Legal Medicine | 2434 W Belvedere Ave, Baltimore, MD 21215-5202 | 2005-12-08 |
| 1306821855 | Susan L Levy | Legal Medicine | 2434 W Belvedere Ave, Baltimore, MD 21215-5202 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679994123 | Alicia J. Odum, Md Pa | Legal Medicine | 1625 Piccard Dr, Unit 402, Rockville, MD 20850-7600 | 2014-01-01 |
| 1942646559 | George Bishop Albright IIi | Legal Medicine | 170 W Ridgely Rd, Suite 310, Timonium, MD 21093-5103 | 2013-05-22 |
| 1528404530 | Donald Graham Slaughter | Legal Medicine | 4913 Lee Ter, Woolford, MD 21677-1319 | 2013-05-16 |
| 1477794907 | Salvatore Francis Fiscina | Legal Medicine | 2 Loganwood Ct, Rockville, MD 20852-3413 | 2009-03-12 |
| 1245423169 | Paul Yazdani | Legal Medicine | 10 E Brook Hill Ct, Bel Air, MD 21014-4408 | 2007-08-23 |
| 1245379395 | Shirley Thompson-richards | Legal Medicine | 7401 Osler Dr Ste 211, Towson, MD 21204-7622 | 2007-02-05 |
| 1821167149 | Akinlawon Olugbenga Ayeni | Legal Medicine | 1400 Mercantile Ln Ste 180, Largo, MD 20774-5369 | 2006-11-08 |
| 1174615934 | Cathy Darlene Shrader | Legal Medicine | 9131 Piscataway Rd Ste 450, Clinton, MD 20735-2543 | 2006-09-29 |
| 1730282666 | Shahnawaz Ahmed Khan | Legal Medicine | 2533 Augustine Herman Hwy, Suite A, Chesapeake City, MD 21915-1414 | 2006-09-06 |
| 1780787044 | Myron Lenkin L | Legal Medicine | 2309 Shorefield Road, Associates In Internal Medicine and Geriatrics, Silver Spring, MD 20902 | 2006-09-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACK MATTHEW TITUS.
| 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.