ST. AGNES HEALTHCARE, INC. (NPI# 1699328245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699328245 |
| Entity Type | Organization |
| Organization Name | ST. AGNES HEALTHCARE, INC. |
| Practice Address |
900 Caton Ave Baltimore MD 21229-5201 |
| Mailing Address |
3585 Washington Blvd Halethorpe MD 21227-1676 |
| Practice Telephone | 6672342800 |
| Practice Fax Number | 6672343532 |
| Mailing Telephone | 6672342149 |
| Mailing Fax Number | 6672348644 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | SCOTT MATTHEW FURNISS (VICE-PRESIDENT/CFO) |
| Authorized Official Telephone | 4103683130 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. AGNES HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| St. Agnes Audiology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919728 | St. Agnes Healthcare, Inc. | Pharmacy | 900 S. Caton Avenue, First Floor, Baltimore, MD 21229 | 2019-12-19 |
| 1780225326 | St. Agnes Healthcare, Inc. | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-10-04 |
| 1487181244 | St. Agnes Healthcare, Inc. | Social Worker | 900 Caton Ave, Baltimore, MD 21229-5201 | 2017-05-11 |
| 1053713941 | St. Agnes Healthcare, Inc. | Dietitian, Registered | 900 Caton Ave, Baltimore, MD 21229-5201 | 2014-09-23 |
| 1184923666 | St. Agnes Healthcare, Inc. | Physical Therapist | 900 Caton Ave, Baltimore, MD 21229-5201 | 2011-03-23 |
| 1548562119 | St. Agnes Healthcare, Inc. | Clinic/Center | 11055 Little Patuxent Pkwy, L6, Columbia, MD 21044-2896 | 2010-12-02 |
| 1629389630 | St. Agnes Healthcare, Inc. | Internal Medicine | 900 Caton Ave, Baltimore, MD 21229-5201 | 2010-06-24 |
| 1720227176 | St. Agnes Healthcare, Inc. | Clinic/Center | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4665 | 2009-02-09 |
| 1003079799 | St. Agnes Healthcare, Inc. | Anesthesiology | 900 Caton Ave, Baltimore, MD 21229-5201 | 2008-07-03 |
| 1780615922 | St. Agnes Healthcare, Inc. | Radiology | 3449 Wilkens Ave, Suite 102, Baltimore, MD 21229-5281 | 2006-07-05 |
| Street Address |
900 CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617021 | Susan L Behen | Surgery | 900 Caton Ave, Baltimore, MD 21229-5201 | 2005-05-23 |
| 1992326532 | Seton Medical Group, Inc | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-05-06 |
| 1801416821 | Deanna Dong | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-04-20 |
| 1780225326 | St. Agnes Healthcare, Inc. | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-10-04 |
| 1346890886 | Mary B Krause | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1447800974 | Tyrone Qualls | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1669020301 | Lori Anne Massey | Nurse Practitioner | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-08-27 |
| 1265086649 | Lilia Gutierrez Villarin | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-24 |
| 1780168351 | Ahmad Ali Al-abdouh | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2018-09-19 |
| 1073019204 | Anas Bizanti | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051581 | Stefanie Bronson | Audiologist | 2500 E Northern Pkwy Rm 127, Baltimore, MD 21214-1163 | 2019-03-12 |
| 1033606348 | Erin Mcdermott | Audiologist | 3801 Gough St, Baltimore, MD 21224-2536 | 2018-04-23 |
| 1518483437 | Rachel A Raphael | Audiologist | 301 Saint Paul St # 612, Baltimore, MD 21202-2102 | 2017-08-22 |
| 1346530961 | Quarry Hearing PC | Audiologist | 2546 Quarry Lake Dr, Baltimore, MD 21209-3759 | 2011-04-15 |
| 1982847778 | Univ of Marylan Otorhinolaryngology Head & Neck Surgery Pa | Audiologist | 16 S Eutaw St Fl 5, Baltimore, MD 21201-1606 | 2009-04-09 |
| 1669613345 | Tanya Green | Audiologist | 1107 N Point Blvd Ste 206, Eastpoint Office Park, Baltimore, MD 21224-3401 | 2009-03-10 |
| 1902054497 | Brandy Renee Charles | Audiologist | 7658 Belair Rd Ste A, Baltimore, MD 21236 | 2008-09-09 |
| 1841456936 | Melissa Segev | Audiologist | 7113 Ambassador Rd, Baltimore, MD 21244-2725 | 2008-07-29 |
| 1710150255 | Nora Zadbeh | Audiologist | 2709 Jeremy Ct Apt F, Apt F, Baltimore, MD 21209-3061 | 2008-04-04 |
| 1073731121 | Steffi Beth .resnick | Audiologist | 103 E Read St, Baltimore, MD 21202-2403 | 2007-04-23 |
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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.