SIMONE PATRICE PORTER (NPI# 1356510614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356510614 |
| Entity Type | Individual |
| Full Name | SIMONE PATRICE PORTER |
| Credential | MD |
| Practice Address |
7141 Security Blvd Woodlawn Medical Center Baltimore MD 21244-1811 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 4436636167 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0101247864 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD037795 | DC | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | D0066349 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
7141 SECURITY BLVD WOODLAWN MEDICAL CENTER |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363885 | Fiona F Meller-azrieli | Internal Medicine | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2005-08-15 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 1104385301 | Kisha Mary Selby | Registered Nurse | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-03-18 |
| 1932631918 | Jennifer Taylor Ratta | Dietitian, Registered | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2017-03-30 |
| 1033578364 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2016-02-15 |
| 1376908020 | Renee Farmer | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2015-12-23 |
| 1144656521 | Dennis Artiga De Leon | Physical Therapist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-09-18 |
| 1629413901 | Alexandra Macleod Grimes | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-05-01 |
| 1528309051 | Howard Seto Gwon | Pharmacist | 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 | 2013-03-07 |
| 1255672853 | Karina Elaine Holland | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248211 | Lauren Mendelsohn-levin, Md LLC | Pediatrics | 6905 Granite Ridge Ct, Baltimore, MD 21209-3856 | 2020-09-08 |
| 1790321172 | Lifebridge Metropolitan Physician Group II, LLC | Pediatrics | 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432 | 2019-11-21 |
| 1528534062 | Baltimore City Health Department | Pediatrics | 1301 Mcculloh St, Baltimore, MD 21217-3044 | 2018-10-23 |
| 1730664012 | Privia Care Center LLC | Pediatrics | 301 Saint Paul St Ste 409, Baltimore, MD 21202-2102 | 2018-10-02 |
| 1386147932 | Das Pediatrics | Pediatrics | 821 N Eutaw St Ste 305, Baltimore, MD 21201-6303 | 2018-03-09 |
| 1184142762 | Marieta S Caragay,m.d. | Pediatrics | 3455 Wilkens Ave Ste 102, Baltimore, MD 21229-5204 | 2017-09-05 |
| 1114455425 | Umar Qadri | Pediatrics | 4940 Eastern Ave # 021044, Baltimore, MD 21224-2735 | 2017-05-31 |
| 1487185765 | Jennifer Dibiagio | Pediatrics | 6565 N Charles St Ste 309, Baltimore, MD 21204-5804 | 2017-03-27 |
| 1538525456 | Catherine Deangelis | Pediatrics | 200 Tuscany Rd, Baltimore, MD 21210-3010 | 2016-01-07 |
| 1275913881 | Agape Health Systems | Pediatrics | 2300 Garrison Blvd Ste 130, Baltimore, MD 21216-2316 | 2015-06-09 |
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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.