THEODORE LESLIE DEWEESE (NPI# 1528003373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528003373 |
| Entity Type | Individual |
| Full Name | THEODORE LESLIE DEWEESE |
| Credential | M.D. |
| Practice Address |
600 N Wolfe St Baltimore MD 21287-0005 |
| Mailing Address |
Po Box 64474 Baltimore MD 21264-4474 |
| Practice Telephone | 4109558964 |
| Mailing Telephone | 4106143979 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D14152 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D47485 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 376561000 | 05 |
| Street Address |
600 N WOLFE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354821 | Earl Randy Craven | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-05-31 |
| 1487255279 | Elizabeth Dejaeghere | Physician Assistant | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-06 |
| 1386245751 | Johns Hopkins University | Psychiatry & Neurology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-03 |
| 1770182560 | Abdulrahman Mohammed Gomaa Abodarahim | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-22 |
| 1760081079 | Jose Daniel Llaque Salazar | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-19 |
| 1891302402 | Everardo Hernandez Quintela | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-09-28 |
| 1891307997 | Abby Holland Keen | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-19 |
| 1184235004 | Molly Ruhl | Physician Assistant | 600 N Wolfe St, Halsted 600, Baltimore, MD 21287-2128 | 2020-08-13 |
| 1083224596 | Johns Hopkins University | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-10 | |
| 1265041032 | Carlos Fairen Oro | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
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| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 1770744716 | Ana Ponce Kiess | Radiology | 401 S Broadway, Suite 1440, Baltimore, MD 21231-2431 | 2008-06-23 |
| 1598788721 | Leslie R. Holmes | Radiology | Sinai Hospital, 2401 W. Belvedere Ave., Baltimore, MD 21215 | 2006-07-26 |
| 1295796761 | Robert Savary Malyapa | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2006-03-31 |
| 1376544494 | Marcos Tepper | Radiology | 7104 Mariposa Rd, Baltimore, MD 21209 | 2005-08-10 |
| 1649757006 | Ankur Markand Sharma | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2018-07-27 |
| 1871988261 | Najeeb Crossley | Radiology | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2015-04-02 |
| 1801214689 | Melissa Ana Liriano Vyfhuis | Radiology | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2014-03-31 |
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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.