REDICLINIC OF MD, LLC (NPI# 1730582867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730582867 |
| Entity Type | Organization |
| Organization Name | REDICLINIC OF MD, LLC |
| Practice Address |
11917-19 Reisterstown Rd. Reisterstown MD 21136-3030 |
| Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
| Practice Telephone | 7133351754 |
| Mailing Telephone | 7133351754 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7135809489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245633221 | Rediclinic of Md, LLC | Clinic/Center | 101 Reisterstown Rd., Pikesville, MD 21208-6102 | 2014-10-03 |
| 1659774644 | Rediclinic of Md, LLC | Clinic/Center | 6130 Baltimore Avenue, Riverdale, MD 20737-1905 | 2014-10-03 |
| 1750731873 | Rediclinic of Md, LLC | Clinic/Center | 8701 Georgia Ave, Suite 100, Silver Spring, MD 20910-3713 | 2016-06-20 |
| 1942650395 | Rediclinic of Md, LLC | Clinic/Center | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2016-06-16 |
| 1053789768 | Rediclinic of Md, LLC | Clinic/Center | 250 Englar Road, Ste. 22, Westminster, MD 21157-2927 | 2015-09-11 |
| 1528447539 | Rediclinic of Md, LLC | Clinic/Center | 25 Jones Station Rd W, Severna Park, MD 21146-4200 | 2015-05-22 |
| 1841677465 | Rediclinic of Md, LLC | Clinic/Center | 5 Bel Air South Parkway, Ste. 1347, Bel Air, MD 21015-3809 | 2015-05-04 |
| 1356728984 | Rediclinic of Md, LLC | Clinic/Center | 8601 Baltimore National Pike, Ellicott City, MD 21043-4176 | 2015-05-04 |
| 1962805762 | Rediclinic of Md, LLC | Clinic/Center | 9810 Apollo Dr, Largo, MD 20774-4824 | 2014-10-07 |
| 1346643392 | Rediclinic of Md, LLC | Clinic/Center | 6300 York Road, Baltimore, MD 21212-2635 | 2014-10-06 |
| Street Address |
11917-19 REISTERSTOWN RD. |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407560 | Covenant Nephrology LLC | Clinic/Center | 13003 Heil Manor Dr, Reisterstown, MD 21136-5712 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385276 | Trumedis Healthcare Services LLC | Clinic/Center | 6120 Baltimore National Pike Ste 204, Catonsville, MD 21228-2930 | 2020-10-26 |
| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1801494810 | Hd Telecommunications LLC | Clinic/Center | 1280 Wesel Blvd Ste C, Hagerstown, MD 21740-5378 | 2020-10-12 |
| 1679180327 | People Inspiring People | Clinic/Center | 3407 Tewkesbury Rd, Abingdon, MD 21009-1095 | 2020-09-28 |
| 1417563883 | Healthy Generations Comprehensive Care LLC | Clinic/Center | 7850 Rossville Blvd Ste 210, Nottingham, MD 21236-3934 | 2020-09-21 |
| 1093328148 | Cerner Health Connections, Inc | Clinic/Center | 15045 Burnt Store Rd, Hughesville, MD 20637-2699 | 2020-08-28 |
| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.