DR. IVAN HORACIO GARCIA JR. (NPI# 1629074745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629074745 |
| Entity Type | Individual |
| Full Name | DR. IVAN HORACIO GARCIA JR. |
| Credential | M.D. |
| Practice Address |
2925 Lord Baltimore Dr. Ste 300 Baltimore MD 21244-2568 |
| Practice Telephone | 4102773937 |
| Practice Fax Number | 4102819388 |
| Mailing Telephone | 4102773937 |
| Mailing Fax Number | 4102819388 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0032680 | MD | Other Service Providers |
| N | 207W00000X | Ophthalmology | D0032680 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 390291900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588984868 | Ivan Garcia I | Massage Therapist | 8110 Sw 2nd St, Miami, FL 33144-2104 | 2010-06-09 |
| 1639323751 | Ivan Garcia | Case Manager/Care Coordinator | 14775 Mar Vista St, Whittier, CA 96005-4376 | 2008-11-17 |
| 1447408810 | Ivan Diego Garcia | Family Medicine | 54juan Pablo Duarte Floral Park, Apartment 2, Hato Rey, PR 00917 | 2008-08-28 |
| 1811481906 | Ivan Garcia | Speech-Language Pathologist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2018-06-21 |
| 1104335843 | Ivan Pedro Garcia | Specialist/Technologist | 2200 Dennison St, Dallas, TX 75212-2460 | 2017-09-26 |
| 1437672995 | Ivan Garcia | General Practice | 15 Calle Jose De Diego, Mayaguez, PR 00680 | 2017-07-17 |
| 1649596974 | Ivan F Garcia | Internal Medicine | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2010-04-12 |
| 1841498847 | Ivan Alonzo Garcia | Orthopaedic Surgery | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 | 2007-07-11 |
| Street Address |
2925 LORD BALTIMORE DR. STE 300 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872738 | Zoe K. Lazarou | Optometrist | 2925 Lord Baltimore Dr., Ste 300, Baltimore, MD 21244-2568 | 2005-06-23 |
| 1417986712 | Ivan H Garcia Md PC | Optometrist | 2925 Lord Baltimore Dr., Suite 300, Baltimore, MD 21244-2566 | 2006-07-01 |
| 1477550580 | Albert Sidney Cytryn | Specialist | 2925 Lord Baltimore Dr., Ste 300, Baltimore, MD 21244-2568 | 2005-07-05 |
| 1700882800 | Emily Ann Frank | Optometrist | 2925 Lord Baltimore Dr., Ste 300, Baltimore, MD 21244-2568 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956593 | Tara Marcell Pettiford | Specialist | 3530 E Northern Pkwy, Baltimore, MD 21206-1632 | 2020-09-14 |
| 1144876806 | Dominic T Mitchell | Specialist | 4626 Kavon Ave, Baltimore, MD 21206-5706 | 2019-08-17 |
| 1164083101 | Chana Cohen | Specialist | 6417 Elray Dr Apt A, Baltimore, MD 21209-2928 | 2019-06-20 |
| 1619477742 | Colleen Marie Berry | Specialist | 7222 Fairbrook Rd, Baltimore, MD 21244-1751 | 2018-02-15 |
| 1104372853 | Clarkview Physicians | Specialist | 1427 Clarkview Road, 300, Baltimore, MD 21209 | 2016-08-31 |
| 1780055343 | Patricia M Disharoon Md | Specialist | 3414 Saint Paul St, Baltimore, MD 21218-2701 | 2015-10-08 |
| 1841673514 | Yen-i Chen | Specialist | 915 S Wolfe St Apt 529, Baltimore, MD 21231-3651 | 2015-06-30 |
| 1891184990 | Sean Raphaely | Specialist | 3619 Glengyle Ave, Baltimore, MD 21215-1556 | 2015-01-13 |
| 1144645862 | Miguel Reyes | Specialist | 11550 Crossroads Cir Unit 424, Baltimore, MD 21220-2975 | 2014-03-04 |
| 1336499722 | Holly A. Nelson, Pediatric Occupational Therapy, LLC | Specialist | 3811 Crestvale Ter, Baltimore, MD 21236-5201 | 2012-09-13 |
| 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.