DR. GEORGE J MAMO (NPI# 1588716641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588716641 |
| Entity Type | Individual |
| Full Name | DR. GEORGE J MAMO |
| Credential | M.D. |
| Practice Address |
3455 Wilkens Ave Suite 100 Baltimore MD 21229-5213 |
| Practice Telephone | 4106460330 |
| Practice Fax Number | 4106446182 |
| Mailing Telephone | 4106460330 |
| Mailing Fax Number | 4106446182 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D0036523 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI PROVIDER NUMBER | 614797 | 01 |
| MD | BCBS FEDERAL PROVIDER NO. | E6120002 | 01 |
| MD | CAREFIRST OF MD PROV. NO. | 52581804 | 01 |
| MD | BLUE CHOICE PROV. NO. | E6120002 | 01 |
| MD | AMERICHOICE PROV. NO. | 1900383 | 01 |
| MD | UNITED HEALTHCARE | 20679012 | 01 |
| MD | 192011100 | 05 |
| Street Address |
3455 WILKENS AVE SUITE 100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508271 | Voshell's Pharmacy, Inc | Pharmacy | 3455 Wilkens Ave, Baltimore, MD 21229-5213 | 2005-09-13 |
| 1508321290 | Wendy Dechowitz | Counselor | 3455 Wilkens Ave, Baltimore, MD 21229-5213 | 2019-02-06 |
| 1548708761 | Contemporary Family Services, Inc | Community/Behavioral Health | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2017-02-08 |
| 1528505674 | Swinton Home Care, LLC | In Home Supportive Care | 3455 Wilkens Ave, Suite 202, Baltimore, MD 21229-5213 | 2017-01-27 |
| 1437695640 | Contemporary Family Services, Inc. | Day Training, Developmentally Disabled Services | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2017-01-11 |
| 1609310101 | Contemporary Family Services, Inc | Substance Abuse Rehabilitation Facility | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2016-12-19 |
| 1174074066 | Life Renewal Services, Inc | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-10-17 |
| 1396294690 | Life's Potential Services | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-09-27 |
| 1427506278 | Life Renewal Services, Inc | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-09-21 |
| 1558722397 | In Balance Physical Therapy and Wellness Center LLC | Clinic/Center | 3455 Wilkens Ave, Suite 200, Baltimore, MD 21229-5213 | 2016-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568844744 | Sunil Patel | Urology | 600 N Wolfe St Bldg 2nd, Baltimore, MD 21287-0005 | 2015-06-23 |
| 1780028167 | Brian P Neuman | Urology | 6535 N Charles St Fl 5, Baltimore, MD 21204 | 2013-04-29 |
| 1497035422 | Leroy Milton Nyberg Jr. | Urology | 126 W Lafayette Ave, Baltimore, MD 21217-4209 | 2011-08-22 |
| 1518263128 | Rena D Malik | Urology | 419 W Redwood St Ste 320, Baltimore, MD 21201-7003 | 2011-01-28 |
| 1013233642 | Alan Louis Kaplan | Urology | 3407 Wilkens Ave Ste 210, Baltimore, MD 21229 | 2010-04-07 |
| 1851564231 | Marisa Meyer Clifton | Urology | 4940 Eastern Ave Bldg 3, Baltimore, MD 21224-2735 | 2008-04-08 |
| 1326218017 | Thomas E. Novak | Urology | Johns Hopkis Medical Institutions Urology Department, 600 North Wolfe St., Baltimore, MD 21287-0001 | 2008-03-10 |
| 1598954869 | Harry S Steven Md Pa | Urology | 6569 N Charles St Ste 700, Baltimore, MD 21204-6832 | 2007-10-23 |
| 1770798019 | Susan Elizabeth Tarry | Urology | 1838 Greene Tree Rd Ste 460, Baltimore, MD 21208 | 2007-05-11 |
| 1487676003 | Caleb P Nelson | Urology | 149 Johns Hopkins Hospital Marburg, 600 North Wolfe Street, Baltimore, MD 21287-0001 | 2006-07-24 |
| 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.