KELLIE BOBBITT SMALDORE (NPI# 1356335095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356335095 |
| Entity Type | Individual |
| Full Name | KELLIE BOBBITT SMALDORE |
| Credential | DO |
| Practice Address |
2227 Old Emmorton Rd Suite 220 Bel Air MD 21015 |
| Practice Telephone | 4433714940 |
| Practice Fax Number | 4433714941 |
| Mailing Telephone | 4105699040 |
| Mailing Fax Number | 4105697419 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H40582 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 348681800 | 05 | |
| MD | MEDICARE GROUP | 199L | 01 |
| Street Address |
2227 OLD EMMORTON RD SUITE 220 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295250 | Syedah Sherry Gilani | Specialist | 2227 Old Emmorton Rd, Suite 212, Bel Air, MD 21015-6187 | 2005-06-14 |
| 1225504350 | Lynette Ballou Khanna | Nurse Practitioner | 2227 Old Emmorton Rd, Bel Air, MD 21015-6187 | 2018-10-16 |
| 1316487879 | Safe Harbor Behavioral Care, LLC | Counselor | 2227 Old Emmorton Rd, Ste 119, Bel Air, MD 21015 | 2017-03-03 |
| 1306293410 | George Thomas Moran Jr. | Counselor | 2227 Old Emmorton Rd, Suite 119, Bel Air, MD 21015-6187 | 2016-05-18 |
| 1275994220 | Mary Casabona | Counselor | 2227 Old Emmorton Rd, Bel Air, MD 21015-6187 | 2016-03-17 |
| 1053778498 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 2227 Old Emmorton Rd, Ste 121, Bel Air, MD 21015-6187 | 2016-01-15 |
| 1548632060 | Susan Sisk-price | Counselor | 2227 Old Emmorton Rd, Ste 119, Bel Air, MD 21015-6187 | 2015-10-23 |
| 1548653595 | Bel Air Surgical and Vein Center, LLC | Clinic/Center | 2227 Old Emmorton Rd, Suite 122, Bel Air, MD 21015-6187 | 2015-03-16 |
| 1659782266 | Stefanie Plitt | Social Worker | 2227 Old Emmorton Rd, 119, Bel Air, MD 21015-6187 | 2014-05-16 |
| 1447675145 | Shon Miller | Counselor | 2227 Old Emmorton Rd, Suite 119, Bel Air, MD 21015-6187 | 2014-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923886 | Bel Air Family Care LLC | Family Medicine | 2014 S Tollgate Rd Ste 211-212, Bel Air, MD 21015-5903 | 2017-10-19 |
| 1821349457 | Edwin Warfi9eld Whiteford Jr. | Family Medicine | 811 Deepwood Ct, Bel Air, MD 21015-6372 | 2012-09-22 |
| 1871730739 | Suzette Martina Johnson Futrell | Family Medicine | 402 Beetlebrook Dr, Bel Air, MD 21014-2583 | 2009-01-14 |
| 1194983080 | Drs Tannenbaum and Tyler LLC | Family Medicine | 2012 S Tollgate Road, Suite 102, Bel Air, MD 21015-5900 | 2008-05-28 |
| 1568642049 | Neelakanth R Harapanahalli LLC | Family Medicine | 602 S Atwood Rd Ste 207, Bel Air, MD 21014-4396 | 2007-11-13 |
| 1013106301 | Plumtree Family Health Center, LLC | Family Medicine | 104 Plumtree Rd Ste 102, Bel Air, MD 21015-6095 | 2007-10-23 |
| 1669689881 | Carol Ann Stauffer-munekata | Family Medicine | 1206-b Expresscare of Bel Air, Bel Air, MD 21014 | 2007-05-17 |
| 1902801541 | Julie Tinney | Family Medicine | 754 N Hickory Ave, Ste C, Bel Air, MD 21014-3042 | 2005-06-20 |
| 1831191097 | Teaette L Louderback-smith | Family Medicine | 615 W Macphail Rd, Ste 206, Bel Air, MD 21014-4305 | 2005-06-01 |
| 1942203211 | Kalpana Nmn De | Family Medicine | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2005-05-31 |
| Find all providers in BEL AIR | ||||
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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.