LUIS FERNANDO GIMENEZ (NPI# 1366448052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366448052 |
| Entity Type | Individual |
| Full Name | LUIS FERNANDO GIMENEZ |
| Credential | MD |
| Practice Address |
5601 Loch Raven Blvd Ste 3 Baltimore MD 21239-2905 |
| Mailing Address |
5601 Loch Raven Blvd Ste 3 N Baltimore MD 21239-2905 |
| Practice Telephone | 4434443775 |
| Practice Fax Number | 4434444678 |
| Mailing Telephone | 4434443775 |
| Mailing Fax Number | 4434444678 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
D0031960 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 378371500 | 05 | |
| MD | BLUE SHIELD | 41416401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992882013 | Luis A Gimenez | Psychologist | 650 Meta St, Oxnard, CA 93030-7182 | 2006-11-01 |
| Street Address |
5601 LOCH RAVEN BLVD STE 3 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1699012575 | Ramnika Iqbal Singh Gumber | Internal Medicine | 1830 E. Monument Street, 4th Floor, Suite 416, Baltimore, MD 21287 | 2013-01-11 |
| 1073805891 | Folatomi Agbe-davies | Internal Medicine | 6830 Hospital Dr Ste 204, Baltimore, MD 21237-4377 | 2011-05-12 |
| 1194954818 | Jonathan D. Philipson, M.d. & Associates, LLC | Internal Medicine | 13 Diamond Crest Ct, Baltimore, MD 21209-1500 | 2009-07-02 |
| 1588807408 | Keiko Iwahara Greenberg | Internal Medicine | 1830 E Monument St Ste 416, Baltimore, MD 21287-0020 | 2009-04-07 |
| 1497916829 | Belinda Thet Htar Lee | Internal Medicine | 5601 Loch Raven Blvd Fl 3, Baltimore, MD 21239-2945 | 2008-06-18 |
| 1922144385 | Nancy N Xu | Internal Medicine | 1830 Building, 4th Floor, 1830 East Monument Street, Baltimore, MD 21205 | 2007-01-30 |
| 1659428118 | Metro Renal Associates LLC | Internal Medicine | 821 N Eutaw St Ste 407, Baltimore, MD 21201-6304 | 2007-01-05 |
| 1245393925 | Barry Maynard Straube | Internal Medicine | 1 W Hill St, Baltimore, MD 21230-3842 | 2006-12-18 |
| 1831279892 | Chirag R Parikh | Internal Medicine | 301 Mason Lord Dr Ste 2500, Baltimore, MD 21224 | 2006-10-16 |
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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.