NORTHWEST BALTIMORE RADIATION THERAPY REGIONAL CENTER, LLC (NPI# 1639145279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639145279 |
| Entity Type | Organization |
| Organization Name | NORTHWEST BALTIMORE RADIATION THERAPY REGIONAL CENTER, LLC |
| Other Organization Name | LIFEBRIDGE HEALTH RADIATION ONCOLOGY CENTER AT OWING MILLS |
| Practice Address |
25 Crossroads Dr Suite110 Owings Mills MD 21117-5421 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 4109989993 |
| Practice Fax Number | 4109984242 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | DAVID N.T. WATSON (CFO) |
| Authorized Official Telephone | 2399317342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RAILROAD MEDICARE | CK7262 | 01 |
| Other Name | Type Code |
|---|---|
| Lifebridge Health Radiation Oncology Center at Owing Mills | Doing Business As Name - Organization |
| Street Address |
25 CROSSROADS DR SUITE110 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667273 | Howard Keith Berg | Colon & Rectal Surgery | 25 Crossroads Dr, Ste 312, Owings Mills, MD 21117-5437 | 2005-05-27 |
| 1952834277 | American Access Care of Towson Asc LLC | Clinic/Center | 25 Crossroads Dr, Suite 110, Owings Mills, MD 21117-5421 | 2017-04-04 |
| 1003229170 | Chesapeake Urology Associates | Urology | 25 Crossroads Dr, Suite 306, Owings Mills, MD 21117-5421 | 2014-06-06 |
| 1609208727 | Krista Lynn Robertson | Dietitian, Registered | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 | 2013-07-31 |
| 1538506662 | Linnea Kristin Cheseldine | Nurse Practitioner | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 | 2013-05-30 |
| 1396035069 | Rosemary W Dodd | Nurse Practitioner | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 | 2011-04-14 |
| 1598085995 | Julia K Smith | Nurse Practitioner | 25 Crossroads Dr, Suite 312, Owings Mills, MD 21117-5421 | 2010-06-08 |
| 1558698134 | American Access Care of Towson, LLC | Radiology | 25 Crossroads Dr, 110, Owings Mills, MD 21117-5421 | 2009-11-03 |
| 1326280199 | Dr Steven B Caplan | Durable Medical Equipment & Medical Supplies | 25 Crossroads Dr, 410, Owings Mills, MD 21117-5421 | 2009-03-25 |
| 1588821508 | Rao Ali Hashim Khan | Internal Medicine | 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117-5421 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1295705630 | Khadijeh S. Zarkoob | Radiology | 11919 Park Heights Ave, Owings Mills, MD 21117-1517 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 1295055481 | Deborah Citrin | Radiology | 10 Crc B2 3500, 10 Center Drive, Bethesda, MD 20892-0001 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on NORTHWEST BALTIMORE RADIATION THERAPY REGIONAL CENTER, LLC.
| 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.