JENNIFER TANIO (NPI# 1639100373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639100373 |
| Entity Type | Individual |
| Full Name | JENNIFER TANIO |
| Credential | M.D. |
| Practice Address |
4924 Campbell Blvd Nottingham MD 21236-5908 |
| Mailing Address |
Po Box 64250 Baltimore MD 21264-4250 |
| Practice Telephone | 4434422200 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D50053 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 316560400 | 05 |
| Street Address |
4924 CAMPBELL BLVD |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404332 | Anthony Trinh | Physical Therapist | 4924 Campbell Blvd, Nottingham, MD 21236-5908 | 2018-07-20 |
| 1255875134 | Maureen Luthardt | Nurse Practitioner | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2016-12-12 |
| 1003363854 | Kathryn Kloss | Nurse Practitioner | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2016-09-08 |
| 1356797773 | Jennifer Zanni | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2016-05-05 |
| 1851772024 | Elizabeth Ault | Physical Therapy Assistant | 4924 Campbell Blvd, Ste. 130a, Nottingham, MD 21236-5908 | 2015-06-14 |
| 1437559580 | Physiotherapy Corporation | Clinic/Center | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-08-26 |
| 1407261720 | Jessica Minacapelli Miele | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-06-25 |
| 1336408160 | Ethel Mojoko | Internal Medicine | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2012-05-14 |
| 1477849149 | Kristen Shaw Deitchman | Pediatrics | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2011-06-21 |
| 1003123027 | Danielle R. North | Physician Assistant | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1265050090 | Innovative Speciality Health Care | Internal Medicine | 18566 Office Park Drive, Montgomery Village, MD 20886-0586 | 2020-07-08 |
| 1407486293 | Dimensions Health Associates Dba University of Maryland Capital Region | Internal Medicine | 251 National Harbor Blvd Fl 5, Oxon Hill, MD 20745-1052 | 2020-01-21 |
| 1366914681 | Anil K Singh Md Pa | Internal Medicine | 625 Kent Ave Ste 209, Cumberland, MD 21502-3799 | 2018-12-27 |
| 1972084507 | University of Maryland Baltimore Washington Heart Associates LLC | Internal Medicine | 7845 Oakwood Rd Ste 106, Glen Burnie, MD 21061-4256 | 2018-08-22 |
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1972091585 | Sd Cardiology Associates LLC | Internal Medicine | 716 Maiden Choice Ln Ste 202, Catonsville, MD 21228-5952 | 2018-04-30 |
| 1538665906 | Heart Care of Maryland LLC | Internal Medicine | 826 Washington Rd Ste 215, Westminster, MD 21157-5780 | 2018-04-03 |
| 1083125736 | Om Cardiology, LLC | Internal Medicine | 910 Washington Rd Ste A, Westminster, MD 21157-5845 | 2017-10-21 |
| 1922460013 | Heart To Heart Pllc | Internal Medicine | 9824 Oxbridge Way, Bowie, MD 20721-3131 | 2016-03-28 |
| 1235503186 | Nader A Dakak Md | Internal Medicine | 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769-9183 | 2015-11-16 |
| Find all providers with the same taxonomy | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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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.