BRIAN RICHARD MATLAGA


Address: 4940 Eastern Ave, Baltimore, MD 21224-2735
Phone: 4105507739

BRIAN RICHARD MATLAGA (NPI# 1427009539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427009539
Entity Type Individual
Full Name BRIAN RICHARD MATLAGA
Credential M.D.
Practice Address 4940 Eastern Ave
Baltimore
MD 21224-2735
Mailing Address Po Box 64255
Baltimore
MD 21264-4255
Practice Telephone 4105507739
Mailing Telephone 4105507008
Enumeration Date 2006-05-13
Last Update Date 2013-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology D64132 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 410696200 05

Office Location

Street Address 4940 EASTERN AVE
City BALTIMORE
State MD
Zip Code 21224-2735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841295714 Jerome M Shier Allergy & Immunology 4940 Eastern Ave, Baltimore, MD 21224-2735 2005-06-16
1740889609 Haimanot Mulat Nurse Practitioner 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-10-21
1457958704 Ashley B Gemon Student in an Organized Health Care Education/Training Program 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-10-08
1235756800 Lauren Kerrigan Nurse Practitioner 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-06-30
1568086692 Kathleen Campbell Mckenzie Physician Assistant 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-06-04
1639791197 Sharice Cheng Physician Assistant 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-05-07
1679194799 John Donald Giles Nurse Practitioner 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-04-29
1598386971 Meiyappan Udayappan Student in an Organized Health Care Education/Training Program 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-04-27
1972123370 Molly Elizabeth Maresca Atwood Psychologist 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-04-26
1982224887 Ofure Anita Akhiwu Student in an Organized Health Care Education/Training Program 4940 Eastern Ave, Baltimore, MD 21224-2735 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710595517 Lisa Farinelli Registered Nurse 251 Bayview Bldv, Baltimore, MD 21224 2020-07-17
1891303038 Lorenzo Leggio General Practice Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 2020-07-14
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1558995670 Myeong Hyun Chae Dentist 7839 Eastern Ave, Baltimore, MD 21224 2020-02-27
1720627581 Johns Hopkins Bayview Medical Center, Inc. Clinic/Center 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 2019-12-27
1194288431 Tawny Meagan Epperson Counselor 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 2019-04-12
1437613163 Johns Hopkins University Internal Medicine 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 2019-01-28
1669993606 Maria Giannas Pharmacist 6510 O'donnell St, Baltimore, MD 21224 2017-06-29
1588193437 Heather Ann Sand Social Worker 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 2017-06-05
1912447822 Jennifer Ann Maser Hermann Counselor 4637 Hudson Street, Baltimore, MD 21224 2017-02-27
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568844744 Sunil Patel Urology 600 N Wolfe St Bldg 2nd, Baltimore, MD 21287-0005 2015-06-23
1780028167 Brian P Neuman Urology 6535 N Charles St Fl 5, Baltimore, MD 21204 2013-04-29
1497035422 Leroy Milton Nyberg Jr. Urology 126 W Lafayette Ave, Baltimore, MD 21217-4209 2011-08-22
1518263128 Rena D Malik Urology 419 W Redwood St Ste 320, Baltimore, MD 21201-7003 2011-01-28
1013233642 Alan Louis Kaplan Urology 3407 Wilkens Ave Ste 210, Baltimore, MD 21229 2010-04-07
1851564231 Marisa Meyer Clifton Urology 4940 Eastern Ave Bldg 3, Baltimore, MD 21224-2735 2008-04-08
1326218017 Thomas E. Novak Urology Johns Hopkis Medical Institutions Urology Department, 600 North Wolfe St., Baltimore, MD 21287-0001 2008-03-10
1598954869 Harry S Steven Md Pa Urology 6569 N Charles St Ste 700, Baltimore, MD 21204-6832 2007-10-23
1770798019 Susan Elizabeth Tarry Urology 1838 Greene Tree Rd Ste 460, Baltimore, MD 21208 2007-05-11
1487676003 Caleb P Nelson Urology 149 Johns Hopkins Hospital Marburg, 600 North Wolfe Street, Baltimore, MD 21287-0001 2006-07-24
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Competitor

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City BALTIMORE
Zip Code 21224

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Dataset Information

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.

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