CHESAPEAKE NEUROSURGERY, LLC (NPI# 1720197924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720197924 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE NEUROSURGERY, LLC |
| Practice Address |
2700 Quarry Lake Drive Suite 360 Baltimore MD 21209 |
| Practice Telephone | 4104860090 |
| Practice Fax Number | 4104860093 |
| Mailing Telephone | 4104860090 |
| Mailing Fax Number | 4104860093 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | MS. JESSICA M CLARK (OFFICE MANAGER) |
| Authorized Official Telephone | 4104860090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | D0047743 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407922100 | 05 |
| Street Address |
2700 QUARRY LAKE DRIVE SUITE 360 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642369 | Jerome P Reichmister | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2005-10-13 |
| 1043553092 | Orthopaedic Specialty Center | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2013-03-28 |
| 1851649115 | Michelle E Auster | Physician Assistant | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2012-08-16 |
| 1437446986 | Sunshine Mcwhinney | Physician Assistant | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2011-07-06 |
| 1962633396 | Diana M. Richardson | Physical Therapist | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2009-08-03 |
| 1376796482 | Brenda E. Eichelberger | Physical Therapist | 2700 Quarry Lake Drive, #300, Baltimore, MD 21209-3746 | 2008-11-03 |
| 1306027263 | Chad C Zooker | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2007-11-20 |
| 1003954520 | Orthopaedic Specialty Center | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2007-02-05 |
| 1811059744 | Margaret Y Siauw | Acupuncturist | 2700 Quarry Lake Drive, Baltimore, MD 21209 | 2006-12-15 |
| 1265508113 | Danielle Lucia Draksler | Specialist/Technologist | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209 | 2006-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033421 | Mercedez Freeman | Neurological Surgery | 4940 Eastern Ave Ste 2100, Baltimore, MD 21224-2735 | 2018-08-20 |
| 1801233101 | Hansen Bow | Neurological Surgery | 501 St. Paul Street, Apt. 805, Baltimore, MD 21202 | 2013-05-28 |
| 1972946689 | David P Mcmullen | Neurological Surgery | 1800 Orleans Street, Mailstop 6007, Johns Hopkins Hospital Department of Neurosurgery, Baltimore, MD 21287-0001 | 2013-04-11 |
| 1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
| 1609163898 | Jacob Cherian | Neurological Surgery | 22 S Greene St Ste S12d, Baltimore, MD 21201-1544 | 2011-07-07 |
| 1770757759 | Debraj Mukherjee | Neurological Surgery | 301 Mason Lord Dr Ste 2100, Baltimore, MD 21224-3057 | 2008-04-21 |
| 1164502852 | Charles L Schnee | Neurological Surgery | 22 S Greene St # S12d, Baltimore, MD 21201-1544 | 2006-10-17 |
| 1356389910 | Brain & Spine Specialists LLC | Neurological Surgery | 2411 W Belvedare Avenue, Suite 502, Baltimore, ME 21215-5228 | 2006-06-03 |
| 1013978915 | Richard Louis Cohen | Neurological Surgery | 1 Cornelius Ct, Baltimore, MD 21208-6332 | 2006-03-30 |
| 1417925264 | Edward Donald Layne | Neurological Surgery | 3449 Wilkens Ave, Baltimore, MD 21229-5281 | 2006-03-09 |
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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.