BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC (NPI# 1295040756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295040756 |
| Entity Type | Organization |
| Organization Name | BALTIMORE WASHINGTON PROFESSIONAL SERVICES INC |
| Other Organization Name | BWMC SPINE |
| Practice Address |
305 Hospital Dr Suite 303 Glen Burnie MD 21061-5805 |
| Mailing Address |
Po Box 62544 Baltimore MD 21264-2544 |
| Practice Telephone | 4105538290 |
| Practice Fax Number | 4105538288 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | REBECCA L PAESCH (DIRECTOR) |
| Authorized Official Telephone | 4107874879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BLUE CROSS BLUE SHIELD | CPD3BW | 01 |
| CARE FIRST BLUE CROSS BLUE SHIELD | W763 | 01 |
| Other Name | Type Code |
|---|---|
| BWMC Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568806933 | Baltimore Washington Professional Services Inc | Dietitian, Registered | 305 Hospital Dr, 2nd Floor, Glen Burnie, MD 21061-5805 | 2013-04-29 |
| Street Address |
305 HOSPITAL DR SUITE 303 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202406 | Aderonke Oluseye | Nurse Practitioner | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2020-07-20 |
| 1427539972 | Nicholas Wolfgang Kaufman | Physician Assistant | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2018-08-23 |
| 1922510742 | Dharaben Patel | Physician Assistant | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2017-11-02 |
| 1639697543 | Sarah Masek | Nurse Practitioner | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2017-08-31 |
| 1982010617 | Katharine A Bisordi | Genetic Counselor, MS | 305 Hospital Dr, Suite 304, Glen Burnie, MD 21061-5805 | 2014-07-02 |
| 1164855607 | The Perfect Fit By Maria,llc | Durable Medical Equipment & Medical Supplies | 305 Hospital Dr, 2nd Floor/ Tate Center, Glen Burnie, MD 21061-5805 | 2013-08-20 |
| 1053751867 | Jill Kathleen Logan | Pharmacist | 305 Hospital Dr, Outpatient Anticoagulation Clinic, Glen Burnie, MD 21061-5805 | 2013-06-26 |
| 1568806933 | Baltimore Washington Professional Services Inc | Dietitian, Registered | 305 Hospital Dr, 2nd Floor, Glen Burnie, MD 21061-5805 | 2013-04-29 |
| 1447522198 | Pegah Parvizian | Pharmacist | 305 Hospital Dr, Suite B101, Glen Burnie, MD 21061-5805 | 2012-01-27 |
| 1306120340 | Tiffany Anne Matonak | Physician Assistant | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2011-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265625941 | Justin Park | Orthopaedic Surgery | 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061-5577 | 2007-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767643 | Mohammad Mofreh S Altaleb | Orthopaedic Surgery | 601 North Caroline Street / Rm 5223, Baltimore, MD 21287-0882 | 2019-12-16 |
| 1598273849 | Joint Replacement Cin of Dc LLC | Orthopaedic Surgery | 1 Research Ct Ste 450b, Rockville, MD 20850-3221 | 2018-01-19 |
| 1386152262 | Spine Cin of Dc LLC | Orthopaedic Surgery | 1 Research Ct Ste 450a, Rockville, MD 20850-3221 | 2018-01-13 |
| 1497020960 | Peter Dean Landin | Orthopaedic Surgery | 523 S Washington St, Easton, MD 21601-2826 | 2012-03-17 |
| 1396842324 | Jose Bigol Corvera | Orthopaedic Surgery | 9 Fox Knoll Ct, Timonium, MD 21093-2847 | 2006-09-20 |
| 1215956529 | Randy Frank Davis | Orthopaedic Surgery | 3500 Boston St Ste J2, Baltimore, MD 21224-5251 | 2006-07-18 |
| 1023071206 | Said Goto Osman | Orthopaedic Surgery | 1003 W 7th St Ste 503, Frederick, MD 21701-8512 | 2006-04-10 |
| 1376510446 | Benjamin N Carr | Orthopaedic Surgery | 2700 Quarry Lake Dr #300, Baltimore, MD 21209-3746 | 2006-03-07 |
| 1194230383 | Advanced Pain Management, LLC | Orthopaedic Surgery | 1050 Key Pkwy Ste 103, Frederick, MD 21702 | 2017-12-10 |
| 1326583006 | Advanced Spine Endoscopy and Pain Institute | Orthopaedic Surgery | 1003 W 7th St Ste 503, Frederick, MD 21701-8512 | 2017-01-04 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.