REGEN MEDICAL LLC (NPI# 1629615901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629615901 |
Entity Type | Organization |
Organization Name | REGEN MEDICAL LLC |
Practice Address |
3916 Hickory Ave Baltimore MD 21211-1834 |
Practice Telephone | 4435525552 |
Practice Fax Number | 4106629884 |
Mailing Telephone | 4435525552 |
Mailing Fax Number | 4106629884 |
Enumeration Date | 2019-12-05 |
Last Update Date | 2019-12-05 |
Authorized Official Name | MICHAEL A DORN JR. (OWNER) |
Authorized Official Telephone | 4435525552 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
3916 HICKORY AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21211-1834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
Find all providers in zip 21211 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1376871996 | Alan A. Rosen, M.d., P.a. | Clinic/Center | 2411 W. Belvedere Avenue, Suite 306, Baltimore, MD 21215 | 2009-11-19 |
1538286174 | State of Marlyand | Clinic/Center | 1000 Hilltop Cir, Baltimore, MD 21250-0001 | 2007-03-26 |
1063456549 | Medstar Physician Partners | Clinic/Center | 107 Beacon Rd, Baltimore, MD 21220-3504 | 2006-06-15 |
1679512909 | Shock Trauma Associates, P.a. | Clinic/Center | 11 S Paca St, Suite 500, Baltimore, MD 21201-1791 | 2006-06-05 |
1487262473 | Halyard Behavioral Health & Wellness | Clinic/Center | 2415 Maryland Ave, Baltimore, MD 21218-5017 | 2020-07-16 |
1043798259 | Johns Hopkins University | Clinic/Center | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-07-31 |
1891140653 | The House of Nehemiah Outreach and Ministries | Clinic/Center | 3300 Windsor Ave, Baltimore, MD 21216-2616 | 2016-04-29 |
1215327259 | Kennedy Krieger Associates, Inc - Mental Health Group Provider | Clinic/Center | 707 N. Broadway, Baltimore, MD 21205 | 2015-01-29 |
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.