DR. KENNETH MWATHA (NPI# 1316161177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316161177 |
| Entity Type | Individual |
| Full Name | DR. KENNETH MWATHA |
| Credential | M.D |
| Practice Address |
900 S Caton Ave Baltimore MD 21229-5201 |
| Practice Telephone | 4103683575 |
| Mailing Telephone | 4103683575 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D70358 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
900 S CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150004 | Anamika Khatri-dua | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2006-01-27 |
| 1952901860 | Jonathan Vargas Salangsang | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-10-29 |
| 1861092025 | Apostolos Paspaltzis | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-10-27 |
| 1841806999 | Kishor Pokharel | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-09-23 |
| 1154936888 | Stepan Snitcar | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-09-10 |
| 1073127783 | Mueen Megdadi | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-09-01 |
| 1366055915 | Anna Axentiev | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-08-24 |
| 1710596069 | Princess Little | Social Worker | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-07-23 |
| 1912523424 | Aashish Acharya | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-06-20 |
| 1811513328 | Abdullah Ahmadou | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-06-20 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471893 | Portia Irene Chipendo | Emergency Medicine | 1830 E Monument St Ste 6, Baltimore, MD 21287-0020 | 2016-03-30 |
| 1780062695 | Michael Gorynski | Emergency Medicine | 4940 Eastern Ave Fl 1s, Baltimore, MD 21224-2735 | 2015-05-12 |
| 1922494392 | Michael Robbins | Emergency Medicine | 1303 Union Ave, Baltimore, MD 21211-1904 | 2015-04-12 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1780001883 | Michael Weldon Diana | Emergency Medicine | The Johns Hopkins Hospital Department Of, 1800 Orleans Street, Baltimore, MD 21287 | 2014-03-26 |
| 1083031330 | Rittik Chaudhuri | Emergency Medicine | 5801 Smith Ave Ste 220, Baltimore, MD 21209-3607 | 2014-03-25 |
| 1780025700 | Nicholas Pereira Risko | Emergency Medicine | 6 S Collington Ave, Baltimore, MD 21231-2011 | 2013-07-08 |
| 1871852962 | Maryland Emergency Medicine Network Physicians, LLC | Emergency Medicine | 323 W Camden St, Baltimore, MD 21201 | 2012-05-09 |
| 1760758254 | Casey Lee Wilson | Emergency Medicine | Jhh 1830 E Monument St, 6-100, Baltimore, MD 21287-0001 | 2012-03-28 |
| 1295027837 | Anastasia Grivoyannis | Emergency Medicine | 1800 Orleans St Ste 6321, Baltimore, MD 21287-0010 | 2011-05-13 |
| Find all providers in BALTIMORE | ||||
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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.