MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC. (NPI# 1497967327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497967327 |
| Entity Type | Organization |
| Organization Name | MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC. |
| Other Organization Name | MID-TOWNE MEDICAL GROUP, INC. |
| Practice Address |
11 E Mount Royal Ave The Towne Bldg Lower Level Baltimore MD 21202-2714 |
| Mailing Address |
11 East Mount Royal Ave The Towne Bldg Lower Level Baltimore MD 21202-2714 |
| Practice Telephone | 4103473000 |
| Practice Fax Number | 4105393676 |
| Mailing Telephone | 4103473000 |
| Mailing Fax Number | 4105393676 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | PROF. M. SUSAN MATTHEWSON (COORDINATOR) |
| Authorized Official Telephone | 4103473000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
D0006489 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mid-Towne Medical Group, Inc. | Doing Business As Name - Organization |
| Street Address |
11 E MOUNT ROYAL AVE THE TOWNE BLDG LOWER LEVEL |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081202 | Warren Keith Christian Sr. | Counselor | 11 E Mount Royal Ave, Baltimore, MD 21202-2714 | 2019-03-07 |
| 1427441880 | Addis Consulting Inc. | Clinic/Center | 11 E Mount Royal Ave, Baltimore, MD 21202-2714 | 2015-03-10 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1205346780 | Hmw Services, LLC | Clinic/Center | 5820 York Rd Ste 102, Baltimore, MD 21212-3619 | 2017-10-10 |
| 1871103481 | Davids Loft Center for Somatic and Behavioral Healthcare | Clinic/Center | 2641 Maryland Ave, Baltimore, MD 21218-4518 | 2020-08-07 |
| 1235760257 | Angel Hands Behavioral Health | Clinic/Center | 6600 York Rd Ste 207, Baltimore, MD 21212-2027 | 2020-01-29 |
| 1457999542 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 4920 Campbell Blvd, Baltimore, MD 21236-5916 | 2019-12-19 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 1043791122 | Debobeth Medical Center | Clinic/Center | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-27 |
| 1144714536 | Sweet Air Acupuncure | Clinic/Center | 4803 Yellowwood Ave, Baltimore, MD 21209-4622 | 2018-06-19 |
| 1902318124 | Angel Hands Healthcare Services, LLC | Clinic/Center | 6600 York Rd Ste 207, Baltimore, MD 21212-2024 | 2017-10-27 |
| 1194279356 | Bnj Counseling Services, LLC | Clinic/Center | 2701 Washington Blvd, Baltimore, MD 21230-1410 | 2016-08-05 |
| 1689042541 | Jr Health Care Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2015-09-09 |
| 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.