ST PAUL PLACE SPECIALISTS, INC. (NPI# 1497796775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497796775 |
| Entity Type | Organization |
| Organization Name | ST PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
301 St. Paul Place Pob 411 Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 824173 Philadelphia PA 19182-4173 |
| Practice Telephone | 4103329346 |
| Practice Fax Number | 4103852354 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | JOHN E TOPPER (SR, VP) |
| Authorized Official Telephone | 4106592802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD | Allopathic & Osteopathic Physicians | |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUECHOICE | S186 | 01 |
| MD | BC / BS OF MD | KAZ1 | 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 |
| 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 |
| 1497707681 | St Paul Place Specialists, Inc. | Emergency Medicine | 301 St. Paul Place, Baltimore, MD 21202-2102 | 2006-05-16 |
| Street Address |
301 ST. PAUL PLACE POB 411 |
| 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 |
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| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639502313 | Nasseri Clinic of Arthritic & Rheumatic Diseases | Internal Medicine | 6821 Reisterstown Rd # 106, Baltimore, MD 21215-1431 | 2013-08-16 |
| 1144563164 | Dana Dominique Direnzo | Internal Medicine | 5501 Hopkins Bayview Cir Bldg Suite1b1, Baltimore, MD 21224-6821 | 2013-03-27 |
| 1326312364 | Jq Associates, LLC | Internal Medicine | 2542 Quarry Lake Dr, Ste 105, Baltimore, MD 21209-3759 | 2012-03-07 |
| 1225224314 | Asia Mubashir | Internal Medicine | 1220b E Joppa Rd Ste 310, Baltimore, MD 21286 | 2007-09-21 |
| 1538205224 | Shikha Mittoo Nanda | Internal Medicine | The Johns Hopkins Hospital 600 North Wolfe St, Baltimore, MD 21287-0001 | 2007-01-29 |
| 1487714150 | Margaret A. Fountain | Internal Medicine | Executive Center At Hooks Lane, 2 Resevoir Circle, Suite 105, Baltimore, MD 21208 | 2006-12-11 |
| 1508958026 | Charles E Griffith IIi | Internal Medicine | Rheumatology Associates of Baltimore LLC, 1220b East Joppa Road Suite 310, Baltimore, MD 21286-5704 | 2006-09-29 |
| 1407881063 | Lynn Marie Billingsley | Internal Medicine | 5601 Loch Raven Blvd Suite 200, Good Samaritan Professional Building, Baltimore, MD 21239-2905 | 2006-07-12 |
| 1548206683 | Michelle A Petri | Internal Medicine | 1830 E Monument St Ste 7500, Baltimore, MD 21287-0009 | 2006-06-20 |
| 1750328308 | Rida Anis Frayha | Internal Medicine | 3640 Fords Ln, Suite E, Baltimore, MD 21215-2931 | 2006-06-01 |
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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.