GREATER BALTIMORE MEDICAL CENTER, INC. (NPI# 1306474853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306474853 |
| Entity Type | Organization |
| Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Other Organization Name | GBMC URGENT CARE AT PADONIA STATION |
| Practice Address |
63 E Padonia Rd Ste 125 Timonium MD 21093-2306 |
| Mailing Address |
6701 N. Charles Street S. Chapman Building, Suite 102 Baltimore MD 21204 |
| Practice Telephone | 4435895500 |
| Practice Fax Number | 4435895502 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | LAURIE R BEYER (EVP & CFO) |
| Authorized Official Telephone | 4438492519 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GBMC Health Partners Urgent Care at Padonia Road | Doing Business As Name - Organization |
| GBMC Urgent Care at Padonia Road | Doing Business As Name - Organization |
| GBMC Urgent Care at Padonia Station | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
| 1114257144 | Greater Baltimore Medical Center, Inc. | Medical Genetics | 6701 N Charles St Unit 23, Baltimore, MD 21204-6808 | 2010-01-14 |
| 1164675906 | Greater Baltimore Medical Center, Inc. | Occupational Therapist | 6569 N Charles St Ste 305, Baltimore, MD 21204-5817 | 2008-10-24 |
| 1760625883 | Greater Baltimore Medical Center, Inc. | Neurological Surgery | 6535 N Charles St Ste 600, Baltimore, MD 21204-5827 | 2009-04-20 |
| 1194963496 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6535 N Charles St, Ste 125, Baltimore, MD 21204-5826 | 2009-01-26 |
| 1194973396 | Greater Baltimore Medical Center, Inc. | Audiologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-09-03 |
| 1568624856 | Greater Baltimore Medical Center, Inc. | Speech-Language Pathologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-06-27 |
| 1689702227 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-03-02 |
| 1467589705 | Greater Baltimore Medical Center, Inc. | Family Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-02-27 |
| 1427118397 | Greater Baltimore Medical Center, Inc. | Pediatrics | 6565 N Charles St, Ste 306, Baltimore, MD 21204-6800 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER BALTIMORE MEDICAL CENTER, INC. | 6701 N Charles St, Baltimore, MD 21204-6808 |
| Street Address |
63 E PADONIA RD STE 125 |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
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| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740704550 | Kinder Mender LLC | Clinic/Center | 1803 York Rd Ste 102, Timonium, MD 21093-5119 | 2017-08-02 |
| 1568739191 | American Current Care Pa | Clinic/Center | 1830 York Rd, Suites F-h, Timonium, MD 21093-5115 | 2011-11-28 |
| 1386952034 | Small Point Urgent Care, P.C. | Clinic/Center | 2219 York Rd, Suite 102, Timonium, MD 21093-3139 | 2010-09-15 |
| 1275716409 | American Current Care Pa | Clinic/Center | 1840 York Road, Suite E, Timonium, MD 21093-5121 | 2007-12-11 |
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| 1174168033 | Rightplace Family Clinic | Clinic/Center | 8640 Guilford Rd Ste 233, Columbia, MD 21046-2664 | 2019-11-14 |
| 1215588686 | Mnr Industries, LLC | Clinic/Center | 615 Belair Rd, Ste Y, Bel Air, MD 21014-4311 | 2019-09-26 |
| 1780156455 | Statcare Group, LLC | Clinic/Center | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2018-12-19 |
| 1508338286 | Statcare Group, LLC | Clinic/Center | 14090 Hg Trueman Rd # 1300, Solomons, MD 20688-3151 | 2018-12-19 |
| 1871065540 | Statcare Group, LLC | Clinic/Center | 10845 Town Center Blvd Ste 108, Dunkirk, MD 20754-2712 | 2018-12-19 |
| 1841772589 | Statcare Group, LLC | Clinic/Center | 11804 Reisterstown Rd, Reisterstown, MD 21136-3311 | 2018-08-29 |
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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.