JEAN ALBERT MIDY MD PA (NPI# 1255546263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255546263 |
| Entity Type | Organization |
| Organization Name | JEAN ALBERT MIDY MD PA |
| Practice Address |
1940 W Baltimore St Baltimore MD 21223-2245 |
| Mailing Address |
11441 High Hay Dr Columbia MD 21044-1027 |
| Practice Telephone | 4102988223 |
| Practice Fax Number | 4102988225 |
| Mailing Telephone | 4109979255 |
| Mailing Fax Number | 4102988225 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | JEAN ALBERT MIDY (OWNER) |
| Authorized Official Telephone | 4109979255 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0026720 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1940 W BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538138185 | Maryland Nephrology Clinic LLC | Internal Medicine | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2006-03-16 |
| 1801365101 | Felicia Dalphine Bailey | Nurse Practitioner | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2018-11-15 |
| 1093054298 | Preetinder S. Sandhu, Md, LLC | Internal Medicine | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2013-02-07 |
| 1801135439 | Grace Medical Center, Inc. | Family Medicine | 1940 W Baltimore St, 3rd Floor, Baltimore, MD 21223-2245 | 2013-02-01 |
| 1972862027 | Bon Secours Baltimore Physician Group LLC | General Practice | 1940 W Baltimore St, 3rd Floor, Baltimore, MD 21223-2245 | 2012-05-10 |
| 1154511889 | Temitope A Olumoko | Physician Assistant | 1940 W Baltimore St, 3rd Floor, Baltimore, MD 21223-2245 | 2007-07-30 |
| 1417162439 | Anthony R Joseph Md LLC | Internal Medicine | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2007-05-12 |
| 1306051321 | John Braxton Md | Family Medicine | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2007-05-12 |
| 1114132131 | Preetender Sandhu Md | Family Medicine | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2007-05-12 |
| 1184839102 | Ufomadu & Associates Inc | Internal Medicine | 1940 W Baltimore St, Baltimore, MD 21223-2245 | 2007-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1285815530 | Bay Vascular Surgery, LLC | Surgery | 3623 Falls Rd, Baltimore, MD 21211-1815 | 2007-11-15 |
| 1811042641 | Kevin Arthur Brown | Surgery | 3333 N Calvert St Ste 325, Baltimore, MD 21218-2866 | 2007-01-24 |
| 1881625564 | Brajesh Kumar Lal | Surgery | 22 S Greene St # N4w66, Baltimore, MD 21201-1544 | 2006-07-05 |
| 1790757847 | Fayyaz Haider Hashmi | Surgery | 2435 W Belvedere Ave Ste 35, Baltimore, MD 21215-5224 | 2006-02-03 |
| 1528402252 | Sarasijhaa K Desikan | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201 | 2013-04-24 |
| 1710245931 | Jason Andrew Chin | Surgery | 3333 N Calvert St, Johnston Professional Building 325, Baltimore, MD 21218-2850 | 2012-04-25 |
| 1356607139 | Caitlin Whitney Hicks | Surgery | 600 N Wolfe St, Halsted 668, Baltimore, MD 21287-0005 | 2012-04-06 |
| 1043530553 | Michael R Hall | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2010-06-07 |
| 1568694875 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1629208749 | Alain Tanbe | Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2009-07-23 |
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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.