DR. BRUCE S. WOLOCK (NPI# 1407810690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407810690 |
| Entity Type | Individual |
| Full Name | DR. BRUCE S. WOLOCK |
| Credential | M.D. |
| Practice Address |
8322 Bellona Ave Suite 100 Towson MD 21204-2065 |
| Practice Telephone | 4103377900 |
| Practice Fax Number | 4108211334 |
| Mailing Telephone | 4103377900 |
| Mailing Fax Number | 4108211334 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | D0031474 | MD | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
D0031474 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
D0031474 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST MARYLAND | 903A | 01 |
| MD | RAILROAD MEDICARE | DC8030 | 01 |
| MD | 331950400 | 05 | |
| MD | RAILROAD MEDICARE | DE5302 | 01 |
| MD | CAREFIRST DC | J848 | 01 |
| Street Address |
8322 BELLONA AVE SUITE 100 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466486 | Richard Michael Levin | Urology | 8322 Bellona Ave, Suite 202, Towson, MD 21204-2065 | 2005-12-06 |
| 1285234732 | Emily Jeanne Sing | Physical Therapist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2020-10-26 |
| 1639645393 | University of Maryland St. Joseph Pain Specialists, LLC | Anesthesiology | 8322 Bellona Ave, Towson, MD 21204-2065 | 2018-10-22 |
| 1437656733 | Tyrone Turner | Specialist/Technologist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2018-04-12 |
| 1912362336 | Tricia Geiger | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2015-12-30 |
| 1225414725 | Elizabeth Fioretti | Specialist/Technologist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2015-08-06 |
| 1609260132 | Jessica Kallaugher | Nurse Practitioner | 8322 Bellona Ave, Suite 330, Towson, MD 21204-2065 | 2015-03-23 |
| 1942692173 | Mcinnes Palmer Orthodontics | Clinic/Center | 8322 Bellona Ave, 310, Towson, MD 21204-2065 | 2015-02-25 |
| 1144623604 | Brian Perez | Specialist/Technologist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2014-09-29 |
| 1790186922 | Benjamin John Gardner | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2014-09-08 |
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|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
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| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952967606 | Vector Vivify, LLC | Surgery | 6851 Oak Hall Ln # 302, Columbia, MD 21045-5846 | 2019-05-17 |
| 1154987378 | Vector Hand, LLC | Surgery | 10440 Shaker Dr Ste 107, Columbia, MD 21046-2340 | 2019-05-13 |
| 1760565865 | Barry Joseph Cohen | Surgery | 3203 Tower Oaks Blvd # 200, Rockville, MD 20852 | 2006-10-23 |
| 1306824123 | Robert John Carpenter | Surgery | 911 Seton Dr, Cumberland, MD 21502-1817 | 2006-01-03 |
| 1366987091 | Scdc Associates Pllc | Surgery | 7625 Maple Lawn Blvd Ste 100, Fulton, MD 20759-2562 | 2017-01-04 |
| 1982708228 | Northwest Hospital Center, Inc | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-09-08 |
| 1366456824 | Razullah Khwaja, M.d. | Surgery | 101 Colonial Way, Suite 101, Rising Sun, MD 21911-2283 | 2006-07-28 |
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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.