BALTIMORE SPINE CENTER, LLC (NPI# 1316962244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316962244 |
| Entity Type | Organization |
| Organization Name | BALTIMORE SPINE CENTER, LLC |
| Practice Address |
1300 Bellona Ave Building D Lutherville MD 21093-5465 |
| Practice Telephone | 4108284789 |
| Practice Fax Number | 4103376999 |
| Mailing Telephone | 4108284789 |
| Mailing Fax Number | 4103376999 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KYLE MOORE (ADMINISTRATOR) |
| Authorized Official Telephone | 4108284789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1413 | MD | Ambulatory Health Care Facilities |
| Street Address |
1300 BELLONA AVE BUILDING D |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-5465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912173964 | Ricardo L Rodriguez Md LLC | Plastic Surgery | 1300 Bellona Ave, Suite C, Lutherville, MD 21093 | 2008-04-30 |
| 1912099920 | Ricardo Luis Rodriguez | Plastic Surgery | 1300 Bellona Ave, Suite C, Lutherville, MD 21093-5465 | 2006-09-28 |
| 1629170246 | John Ashby Covington | Specialist | 1300 Bellona Ave, Suite B, Lutherville, MD 21093-5465 | 2006-09-03 |
| 1871695593 | Linda Ellen Rosenthal | Internal Medicine | 1300 Bellona Ave, Suite B, Lutherville, MD 21093-5466 | 2006-09-02 |
| 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 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437423 | Johns Hopkins Surgery Centers Series | Clinic/Center | 10755 Falls Rd Ste 110b, Lutherville, MD 21093-4506 | 2019-09-24 |
| 1316406523 | Johns Hopkins Surgery Centers Series | Clinic/Center | 10803 Falls Rd Ste 3100, Lutherville, MD 21093-4502 | 2019-03-18 |
| 1417421710 | Surgery Center of York Road | Clinic/Center | 1300 York Rd Bldg C, Lutherville, MD 21093-6016 | 2019-01-20 |
| 1942230024 | Lutherville Endoscopy Center LLC | Clinic/Center | 1300 Bellona Ave Ste A, Lutherville, MD 21093-5466 | 2006-07-04 |
| 1871941468 | Ambulatory Surgery Center for Pelvic Neuro Science LLC | Clinic/Center | 1447 York Rd, Suite 406, Lutherville, MD 21093-6017 | 2016-05-25 |
| 1124492996 | Mohs and Skin Surgery Center, LLC | Clinic/Center | 1447 York Rd, Suite 301, Lutherville, MD 21093-6017 | 2015-11-17 |
| 1619051679 | John Skouge, M.d.,p.a. | Clinic/Center | 1302 Bellona Ave, Lutherville, MD 21093-5425 | 2006-10-25 |
| 1376657890 | Surgical Specialty Suites, Inc | Clinic/Center | 1304 Bellona Ave, Lutherville, MD 21093-5425 | 2006-08-19 |
| 1124058946 | Lutherville Surgicenter, LLC | Clinic/Center | 1400 Front Ave, Suite 100a, Lutherville, MD 21093-5300 | 2006-07-04 |
| 1295775880 | Greater Chesapeake Surgery Center LLC | Clinic/Center | 1212 York Rd, Lutherville, MD 21093-6233 | 2006-06-08 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
Please comment or provide details below to improve the information on BALTIMORE SPINE CENTER, LLC.
| 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.