ST PAUL PLACE SPECIALISTS, INC. (NPI# 1497707681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497707681 |
| Entity Type | Organization |
| Organization Name | ST PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
301 St. Paul Place Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 824173 Philadelphia PA 19182-4173 |
| Practice Telephone | 4103329000 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | MR. ROBERT A EDWARDS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4106592802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUECHOICE | S187 | 01 |
| MD | BLUECHOICE | S188 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195532 | St Paul Place Specialists, Inc. | Obstetrics & Gynecology | 1777 Reisterstown Rd, Ste 210, Pikesville, MD 21208-1306 | 2007-05-18 |
| 1679618359 | St Paul Place Specialists, Inc. | Pathology | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2007-02-21 |
| 1497821839 | St Paul Place Specialists, Inc. | Dermatology | 301 St Paul Place, Baltimore, MD 21202 | 2006-11-28 |
| 1851405187 | St Paul Place Specialists, Inc. | Optometrist | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-17 |
| 1639189863 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-09 |
| 1154362473 | St Paul Place Specialists, Inc. | Neuromusculoskeletal Medicine & OMM | 301 Saint Paul Pl, #402 - Neurology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1497796775 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Pob 411, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1174564736 | St Paul Place Specialists, Inc. | Internal Medicine | 227 Saint Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-06-08 |
| 1780630004 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Heart Center - Burk Bldg 310, Baltimore, MD 21202-2102 | 2006-05-26 |
| Street Address |
301 ST. PAUL PLACE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431526 | Lynn M. Ludmer | Internal Medicine | 301 St. Paul Place, #411, Baltimore, MD 21202-2102 | 2006-03-14 |
| 1972067627 | Lacey Aghazarian | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202-2102 | 2019-01-28 |
| 1396215463 | Michelle D. Detwiler | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202 | 2018-11-30 |
| 1033687363 | Nicole Parrau | Nurse Practitioner | 301 St. Paul Place, # 402, Baltimore, MD 21202-2102 | 2018-11-05 |
| 1942777156 | Lauren Nicole Wood | Physician Assistant | 301 St. Paul Place, Lower Level, Baltimore, MD 21202 | 2018-10-25 |
| 1205317310 | Caroline Kramer | Physician Assistant | 301 St. Paul Place, Lower Level, Baltimore, MD 21202 | 2018-08-27 |
| 1447762992 | Shira Levihim | Physician Assistant | 301 St. Paul Place, Pob # 718, Baltimore, MD 21202 | 2017-10-24 |
| 1760992713 | Adam B. Sherman | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202 | 2017-10-04 |
| 1316487820 | Melody Esmaili | Nurse Anesthetist, Certified Registered | 301 St. Paul Place, Dept. of Anesthesiology, 17th Floor, Baltimore, MD 21202 | 2017-03-02 |
| 1528510070 | Lauren Walker | Physician Assistant | 301 St. Paul Place, Baltimore, MD 21202 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| 1386059400 | Daniel Ryan | Radiology | 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 | 2014-06-26 |
| 1538415633 | Ammar K. Al-ibraheemi | Radiology | 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 | 2012-07-26 |
| 1609165042 | Sunpreet Singh Tandon | Radiology | 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 | 2011-04-06 |
| 1639476948 | Byung Chul Yoon | Radiology | 1620 Mcelderry St Apt 515, Baltimore, MD 21205 | 2011-02-23 |
| 1730484619 | Howard Allen Davidov | Radiology | 7221 Denberg Rd, Baltimore, MD 21209-1038 | 2011-01-24 |
| 1306075056 | Elnasif Arrayeh | Radiology | 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 | 2009-07-02 |
| 1922234558 | Kristin K. Porter | Radiology | Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 | 2009-06-10 |
| 1386884302 | Elizabeth Kristine Weihe | Radiology | 601 N Caroline St # 3142, Baltimore, MD 21287-7406 | 2009-03-03 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on ST PAUL PLACE SPECIALISTS, INC..
| 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.