MYCROBIOTECH INC (NPI# 1528697067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528697067 |
| Entity Type | Organization |
| Organization Name | MYCROBIOTECH INC |
| Practice Address |
3301 Eastern Ave Baltimore MD 21224-4109 |
| Practice Telephone | 8777950103 |
| Practice Fax Number | 8775786966 |
| Mailing Telephone | 8777950103 |
| Mailing Fax Number | 8775786966 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | MR. JACK DONALDSON IV (PRESIDENT) |
| Authorized Official Telephone | 9544153116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Sanare Bioscience | Doing Business As Name - Organization |
| Street Address |
3301 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211179 | Nuability Dme | Durable Medical Equipment & Medical Supplies | 808 Hollins St, Baltimore, MD 21201-1004 | 2019-12-04 |
| 1033753843 | Brandy Collins | Durable Medical Equipment & Medical Supplies | 1713 Taylor Ave Ste 4, Baltimore, MD 21234-6149 | 2019-11-05 |
| 1750936266 | P Roya Madani Dds Pa | Durable Medical Equipment & Medical Supplies | 338 N Charles St Fl 1, Baltimore, MD 21201-4367 | 2019-08-02 |
| 1043864002 | University of Maryland St. Joseph Orthopaedics, LLC | Durable Medical Equipment & Medical Supplies | 9110 Philadelphia Rd Ste 308, Baltimore, MD 21237-4327 | 2019-07-29 |
| 1518438035 | Interventional Pain Institute, LLC | Durable Medical Equipment & Medical Supplies | 2700 Lighthouse Pt E Ste 402, Baltimore, MD 21224-4769 | 2018-12-10 |
| 1922512011 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1114 Cathedral St Ste 3, Baltimore, MD 21201-5536 | 2017-11-28 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1679098321 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 125 E Baltimore St, Baltimore, MD 21202-1607 | 2017-08-03 |
| 1679097372 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 29 Shipping Pl # 31, Baltimore, MD 21222-4318 | 2017-08-03 |
| 1932623634 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3935 Erdman Ave # 37, Baltimore, MD 21213-2004 | 2017-08-03 |
| 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.