BALTIMORE MEDICAL SYSTEM, INC. (NPI# 1619248515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619248515 |
| Entity Type | Organization |
| Organization Name | BALTIMORE MEDICAL SYSTEM, INC. |
| Practice Address |
600 N Patterson Park Ave Baltimore MD 21205-2447 |
| Mailing Address |
3501 Sinclair Ln Baltimore MD 21213-2029 |
| Practice Telephone | 4437033664 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | JAY WOLVOVSKY (PRESIDENT & CEO) |
| Authorized Official Telephone | 4105584891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 376751500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
| 1407998792 | Baltimore Medical System, Inc. | Clinic/Center | 801 S Highland Ave, Baltimore, MD 21224-5131 | 2007-02-13 |
| 1518008325 | Baltimore Medical System, Inc. | Clinic/Center | 5001 Sinclair Ln, Baltimore, MD 21206-5937 | 2007-02-12 |
| 1720084528 | Baltimore Medical System, Inc. | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1814 | 2005-06-27 |
| 1700882503 | Baltimore Medical System, Inc. | Clinic/Center | 3501 Sinclair Ln, Baltimore, MD 21213-2029 | 2005-06-27 |
| 1912903436 | Baltimore Medical System, Inc. | Clinic/Center | 4000 Annapolis Rd, Rear 105, Baltimore, MD 21227-3611 | 2005-06-21 |
| 1174803456 | Baltimore Medical System, Inc. | Clinic/Center | 6900 Park Heights Ave, Baltimore, MD 21215-1608 | 2011-08-18 |
| 1184904443 | Baltimore Medical System, Inc. | Clinic/Center | 1919 N Broadway, Baltimore, MD 21213-1432 | 2011-08-18 |
| 1447302203 | Baltimore Medical System, Inc. | Clinic/Center | 3701 Eastern Ave, Baltimore, MD 21224-4208 | 2007-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BALTIMORE MEDICAL SYSTEM, INC. | 3501 Sinclair Ln, Baltimore, MD 21213-2029 |
| Street Address |
600 N PATTERSON PARK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
| Find all providers in zip 21205 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699292110 | Baltimore Medical System Inc | Clinic/Center | 3701 Eldorado Avenue, Baltimore, MD 21207-7658 | 2017-08-25 |
| 1083087878 | Mergenthaler Vocational-technical High School | Clinic/Center | 3500 Hillen Rd, Baltimore, MD 21218-2227 | 2015-11-03 |
| 1952778573 | Vanguard Collegiate Middle School | Clinic/Center | 5000 Truesdale Rd, Baltimore, MD 21206-6145 | 2015-08-31 |
| 1881087336 | Total Health Care Inc | Clinic/Center | 200 E 33rd St Ste 265, Baltimore, MD 21218-3377 | 2015-03-09 |
| 1346664562 | Patterson High School | Clinic/Center | 100 Kane Street, Baltimore, MD 21224 | 2014-02-07 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| 1942501150 | Baltimore Medical System, Inc | Clinic/Center | 1101 N Wolfe St, Baltimore, MD 21213-3310 | 2010-11-04 |
| 1346540606 | Total Health Care, Inc. | Clinic/Center | 827 Linden Boulevard, Baltimore, MD 21202 | 2010-11-02 |
| 1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
| 1255512638 | Park West Health Systems Incorporated | Clinic/Center | 4151 Park Heights Ave, Baltimore, MD 21215-6730 | 2007-11-14 |
| 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.