MRS. MARY LOUISE GERCKE (NPI# 1528408895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528408895 |
Entity Type | Individual |
Full Name | MRS. MARY LOUISE GERCKE |
Credential | CRNP |
Practice Address |
323 N Calvert St Baltimore MD 21202-3611 |
Mailing Address |
1402 Marywood Dr Bel Air MD 21014-2015 |
Practice Telephone | 4103329083 |
Mailing Telephone | 4109085509 |
Enumeration Date | 2013-07-01 |
Last Update Date | 2013-07-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R065950 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R065950 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
R065950 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
323 N CALVERT ST |
City | BALTIMORE |
State | MD |
Zip Code | 21202-3611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073674222 | James D Levy | Preventive Medicine | 323 N Calvert St, Baltimore, MD 21202-3611 | 2006-12-12 |
1912357716 | Jacqueline Mahoo | Nurse Practitioner | 323 N Calvert St, Baltimore, MD 21202-3611 | 2016-06-13 |
1336266212 | Kathleen Dianne Anderson | Physician Assistant | 323 N Calvert St, Baltimore, MD 21202-3611 | 2007-03-23 |
1194877464 | Business Health Services | Preventive Medicine | 323 N Calvert St, Baltimore, MD 21202-3611 | 2007-01-17 |
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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659981728 | Jamie Briddell | Nurse Practitioner | 250 N Calvert St, Baltimore, MD 21202-3505 | 2020-08-04 |
1790300903 | Hall Diabetes Management and Resource Center PC | Nurse Practitioner | 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 | 2020-06-12 |
1356978530 | Melissa Irvin Sahm | Nurse Practitioner | 2634 Guilford Ave, Baltimore, MD 21218-4611 | 2020-03-26 |
1821646092 | Aaron Murfin | Nurse Practitioner | 1055 W Market St Ste H, Baltimore, OH 43105-1284 | 2019-08-29 |
1669024543 | Alpa Uchil | Nurse Practitioner | 601 N Caroline St Ste 5061, Baltimore, MD 21287-0006 | 2019-07-11 |
1982169918 | Stephanie Ann Wagner | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 | 2019-02-04 |
1386118289 | Dia Lynae Johnson | Nurse Practitioner | 4101 Glenhunt Rd, Baltimore, MD 21229-1705 | 2019-01-14 |
1083181077 | Gilah Speedone | Nurse Practitioner | 5915 Western Park Dr, Baltimore, MD 21209-3416 | 2018-10-27 |
1144719634 | Kathryn Ellen Menzel | Nurse Practitioner | 601 N Caroline St Fl 7, Baltimore, MD 21287-0006 | 2018-05-09 |
1659815520 | Leonard Mugo | Nurse Practitioner | 4611 Southwood Ave, Baltimore, MD 21206-2245 | 2016-12-13 |
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.