DR. CHALLICE L BONIFANT (NPI# 1568605467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568605467 |
Entity Type | Individual |
Full Name | DR. CHALLICE L BONIFANT |
Credential | MD, PHD |
Practice Address |
1650 Orleans St # 242 Baltimore MD 21287-0013 |
Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
Practice Telephone | 4109552813 |
Practice Fax Number | 4109558897 |
Mailing Telephone | 4109336423 |
Enumeration Date | 2009-04-08 |
Last Update Date | 2019-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
D86711 | MD | Allopathic & Osteopathic Physicians |
N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
4301108154 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1650 ORLEANS ST # 242 |
City | BALTIMORE |
State | MD |
Zip Code | 21287-0013 |
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 | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851730097 | Abdulhafiz Zakieh | Pediatrics | 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 | 2013-06-20 |
1023218377 | Francis Jay Mussai | Pediatrics | Pediatric Oncology Johns Hopkins Hospital, Cmsc 800, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2007-07-24 |
1427194661 | Meredith Chuk | Pediatrics | Johns Hopkins Hospital 600 North Wolfe St, Cmsc 800, Baltimore, MD 21287-0001 | 2007-01-29 |
1093287286 | Kathleen Kaspar | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-12-28 |
1992192249 | Michael Hoffmann Chan | Pediatrics | 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 | 2015-04-23 |
1679919948 | Emily Southard Rao | Pediatrics | 720 Rutland Ave # Ross1125, Baltimore, MD 21205-2109 | 2013-05-14 |
1811230048 | Yevgeniya Bamme | Pediatrics | 2401 W Belvedere Ave, Department of Pediatric Hematology/oncology, Baltimore, MD 21215 | 2013-04-06 |
1306188206 | John Ligon | Pediatrics | 1800 Orleans St Rm 11379, Baltimore, MD 21287 | 2013-03-19 |
1053678409 | Kathryn M Lemberg | Pediatrics | 1800 Orleans St, Bloomberg 11n, Baltimore, MD 21287-0010 | 2012-04-23 |
1891074233 | Lydia Pecker | Pediatrics | 720 Rutland Ave, Baltimore, MD 21205 | 2011-08-16 |
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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.