BLAKE WATTERWORTH (NPI# 1457693889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
351 W Camden St, Baltimore, MD 212017912 | 6672141616 | 4103281674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932753712 | Blake Watterworth | Counselor | 160 N Craig St Ste 212, Pittsburgh, PA 15213-2717 | 2019-07-30 |
Street Address |
22 S GREENE ST # S11D |
City | BALTIMORE |
State | MD |
Zip Code | 21201 |
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 Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
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. |
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 |
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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.