ST PAUL PLACE SPECIALISTS, INC. (NPI# 1639189863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639189863 |
| Entity Type | Organization |
| Organization Name | ST PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
301 St Paul Place Medical Staff Office Baltimore MD 21202 |
| Mailing Address |
Po Box 824173 Philadelphia PA 19182-4173 |
| Practice Telephone | 4106592802 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | JOHN TOPPER (CFO) |
| Authorized Official Telephone | 4106592802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195532 | St Paul Place Specialists, Inc. | Obstetrics & Gynecology | 1777 Reisterstown Rd, Ste 210, Pikesville, MD 21208-1306 | 2007-05-18 |
| 1679618359 | St Paul Place Specialists, Inc. | Pathology | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2007-02-21 |
| 1497821839 | St Paul Place Specialists, Inc. | Dermatology | 301 St Paul Place, Baltimore, MD 21202 | 2006-11-28 |
| 1851405187 | St Paul Place Specialists, Inc. | Optometrist | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-17 |
| 1154362473 | St Paul Place Specialists, Inc. | Neuromusculoskeletal Medicine & OMM | 301 Saint Paul Pl, #402 - Neurology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1497796775 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Pob 411, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1174564736 | St Paul Place Specialists, Inc. | Internal Medicine | 227 Saint Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-06-08 |
| 1780630004 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Heart Center - Burk Bldg 310, Baltimore, MD 21202-2102 | 2006-05-26 |
| 1497707681 | St Paul Place Specialists, Inc. | Emergency Medicine | 301 St. Paul Place, Baltimore, MD 21202-2102 | 2006-05-16 |
| Street Address |
301 ST PAUL PLACE MEDICAL STAFF OFFICE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173717 | Mara Vucich | Physical Medicine & Rehabilitation | 301 St Paul Place, Baltimore, MD 21202-4600 | 2005-09-07 |
| 1336747195 | Susan Hamilton | Pharmacist | 301 St Paul Place, Baltimore, MD 21202 | 2020-10-14 |
| 1528547445 | Danielle Hayden | Physician Assistant | 301 St Paul Place, Baltimore, MD 21202 | 2018-08-10 |
| 1912369661 | Carey Bradley Cezar | Advanced Practice Midwife | 301 St Paul Place, Baltimore, MD 21202 | 2016-03-22 |
| 1881073997 | Harry Auster | Physician Assistant | 301 St Paul Place, Baltimore, MD 21202 | 2015-05-21 |
| 1316365349 | Jason Preissig | Dermatology | 301 St Paul Place, Suite 607, Baltimore, MD 21202-2102 | 2014-04-07 |
| 1114351533 | Jeanmarie Greco Modresky | Pharmacist | 301 St Paul Place, Baltimore, MD 21202 | 2013-08-22 |
| 1528300977 | Andrea Limpuangthip | Internal Medicine | 301 St Paul Place, Baltimore, MD 21202 | 2013-03-25 |
| 1942463542 | Richard Desi | Internal Medicine | 301 St Paul Place, # 718, Baltimore, MD 21202 | 2008-07-03 |
| 1285800136 | Joel D Meshulam Md LLC | Internal Medicine | 301 St Paul Place, #804, Baltimore, MD 21202-2102 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896633 | George Olen Denny | Dermatology | 601 N Caroline St Ste 8072, Baltimore, MD 21287-0006 | 2016-04-11 |
| 1568801801 | Kristin Page Bibee | Dermatology | 601 N Caroline St # 8083, Baltimore, MD 21287 | 2013-06-20 |
| 1174960306 | Jeffrey F. Scott | Dermatology | 601 N Caroline St # 8072, Baltimore, MD 21287-0006 | 2013-05-29 |
| 1205191400 | Shawn Kwatra | Dermatology | 601 N Caroline St Ste 8065, Baltimore, MD 21287-0006 | 2012-07-12 |
| 1508132846 | Elise Ng | Dermatology | 4940 Eastern Ave # 01, Baltimore, MD 21224-2735 | 2012-03-30 |
| 1760772685 | Mitchell Klapper M.d., P.a. | Dermatology | 122 Slade Ave Ste 202, Baltimore, MD 21208-4993 | 2011-04-12 |
| 1174813448 | Mamta Bhasker Jhaveri | Dermatology | 601 N Caroline St Fl Street8, Baltimore, MD 21287-0006 | 2011-04-07 |
| 1558688820 | Cecilia Alejandra Larocca | Dermatology | 218 N Charles St, Apt. 1511, Baltimore, MD 21201-4021 | 2010-04-27 |
| 1598998072 | Mary Sopocko | Dermatology | 208 E Chase St, Baltimore, MD 21202-3808 | 2009-08-31 |
| 1538326772 | Sridhar Dronavalli | Dermatology | 419 W Redwood St Ste 160, Baltimore, MD 21201-1782 | 2008-05-16 |
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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.