BLAKE WATTERWORTH


Address: 22 S Greene St # S11d, Baltimore, MD 21201
Phone: 4104486824

BLAKE WATTERWORTH (NPI# 1457693889) 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) 1457693889
Entity Type Individual
Full Name BLAKE WATTERWORTH
Credential MD
Practice Address 22 S Greene St # S11d
Baltimore
MD 21201
Mailing Address 22 S Greene St # S11d
Baltimore
MD 21201-1544
Practice Telephone 4104486824
Mailing Telephone 4104486824
Enumeration Date 2013-03-24
Last Update Date 2018-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology D84256 MD Allopathic & Osteopathic Physicians
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
D84256 MD Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
351 W Camden St, Baltimore, MD 212017912 6672141616 4103281674

Other Providers BLAKE WATTERWORTH

NPI Name Taxonomy Address Enumeration
1932753712 Blake Watterworth Counselor 160 N Craig St Ste 212, Pittsburgh, PA 15213-2717 2019-07-30

Office Location

Street Address 22 S GREENE ST # S11D
City BALTIMORE
State MD
Zip Code 21201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585470 Meshref Ayed Alshehri Student in an Organized Health Care Education/Training Program 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-07-08
1306462411 Michael Julian Wong Student in an Organized Health Care Education/Training Program University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 2020-06-24
1740817733 Martha Kaitlyn Coghlan Student in an Organized Health Care Education/Training Program Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 2020-03-27
1629606637 Taylor Renee Kai Student in an Organized Health Care Education/Training Program University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-03-27
1295362697 Brittany A Oster Student in an Organized Health Care Education/Training Program 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 2020-03-25
1346877735 Kayvon Michael Mobarakeh Student in an Organized Health Care Education/Training Program University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 2020-03-25
1598392284 Zachary Allan Hagen Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 2020-03-24
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
Find all providers in zip 21201

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104280957 Brent Earls Anesthesiology 601 N Caroline St # 3062, Baltimore, MD 21287-0006 2016-04-07
1801213863 Jonathan Sean Woo Anesthesiology 22 South Greene Street, Room S11c00, Anestheisology, Baltimore, MD 21201 2014-03-27
1396779427 University of Maryland Anesthesiology Associates,p.a. Anesthesiology 22 S Greene Street, Baltimore, MD 21201 2006-07-11
1922582980 Johns Hopkins University Anesthesiology 600 N Wolfe St, Baltimore, MD 21287-0005 2018-09-17
1528578333 Medstar Medical Group Anesthesiology LLC Anesthesiology 201 E University Pkwy, Baltimore, MD 21218-2829 2017-10-06
1861755514 Alexander Lee Matz Anesthesiology 900 Caton Ave, Baltimore, MD 21229-5201 2012-06-18
1922395839 Tina Le Doshi Anesthesiology 601 N Caroline St, Suite 3062, Baltimore, MD 21287-0006 2011-06-30
1497047641 Sundaram Krishnan Chettiar Anesthesiology 3449 Wilkens Ave Ste 300, Baltimore, MD 21229-5218 2011-05-06
1841595451 Q O L Pain Management Center LLC Anesthesiology 3102 N Hilton St, Baltimore, MD 21216-1450 2011-01-13
1710117395 Union Memorial Hospital Anesthesiology 201 E University Pkwy, 33rd Street Pob, Suite 425, Baltimore, MD 21218-2829 2009-07-17
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21201

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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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