DR. IVARA ALISTAIR ESEGE (NPI# 1306885280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306885280 |
Entity Type | Individual |
Full Name | DR. IVARA ALISTAIR ESEGE |
Credential | M.B.B.S. |
Practice Address |
4538 Edmondson Ave Baltimore MD 21229-1506 |
Practice Telephone | 4103282273 |
Practice Fax Number | 4103281748 |
Mailing Telephone | 4103282273 |
Mailing Fax Number | 4103281748 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2009-06-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | D46071 | MD | Other Service Providers |
Street Address |
4538 EDMONDSON AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21229-1506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063473551 | Etosha D Dixon | Family Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-04-01 |
1851907141 | Time Organization, Inc. | Community/Behavioral Health | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2020-09-22 |
1629210166 | University Care | Psychologist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2009-03-30 |
1063512200 | Catharine Louise Weiss | Psychologist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-09-25 |
1497760276 | University Care LLC | Internal Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-30 |
1134153034 | Neil Siegel | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-10 |
1275565251 | Marc Wilson | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-07 |
1164454005 | Joyce Evans | Family Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-07 |
1245269018 | Stacy Garrett | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
Find all providers in zip 21229 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356956593 | Tara Marcell Pettiford | Specialist | 3530 E Northern Pkwy, Baltimore, MD 21206-1632 | 2020-09-14 |
1144876806 | Dominic T Mitchell | Specialist | 4626 Kavon Ave, Baltimore, MD 21206-5706 | 2019-08-17 |
1164083101 | Chana Cohen | Specialist | 6417 Elray Dr Apt A, Baltimore, MD 21209-2928 | 2019-06-20 |
1619477742 | Colleen Marie Berry | Specialist | 7222 Fairbrook Rd, Baltimore, MD 21244-1751 | 2018-02-15 |
1104372853 | Clarkview Physicians | Specialist | 1427 Clarkview Road, 300, Baltimore, MD 21209 | 2016-08-31 |
1780055343 | Patricia M Disharoon Md | Specialist | 3414 Saint Paul St, Baltimore, MD 21218-2701 | 2015-10-08 |
1841673514 | Yen-i Chen | Specialist | 915 S Wolfe St Apt 529, Baltimore, MD 21231-3651 | 2015-06-30 |
1891184990 | Sean Raphaely | Specialist | 3619 Glengyle Ave, Baltimore, MD 21215-1556 | 2015-01-13 |
1144645862 | Miguel Reyes | Specialist | 11550 Crossroads Cir Unit 424, Baltimore, MD 21220-2975 | 2014-03-04 |
1336499722 | Holly A. Nelson, Pediatric Occupational Therapy, LLC | Specialist | 3811 Crestvale Ter, Baltimore, MD 21236-5201 | 2012-09-13 |
Find all providers in BALTIMORE |
Please comment or provide details below to improve the information on DR. IVARA ALISTAIR ESEGE.
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.