ALBERT BERNARD SHACKMAN


Address: 10808 Linson Road, Owings Mills, MD 21117
Phone: 4103630230

ALBERT BERNARD SHACKMAN (NPI# 1740413533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740413533
Entity Type Individual
Full Name ALBERT BERNARD SHACKMAN
Credential M.D.
Practice Address 10808 Linson Road
Owings Mills
MD 21117
Practice Telephone 4103630230
Practice Fax Number 4103630227
Mailing Telephone 4103630230
Mailing Fax Number 4103630227
Enumeration Date 2009-08-27
Last Update Date 2009-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
DOO10439 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 10808 LINSON ROAD
City OWINGS MILLS
State MD
Zip Code 21117

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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
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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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962854166 Michael Louis Sherman Radiology 11304 John Carroll Rd, Owings Mills, MD 21117-1658 2016-07-12
1497002596 Aruna David Radiology 10373a Reisterstown Rd, Owings Mills, MD 21117-3617 2012-08-07
1154322071 Craig R Suchin Radiology 25 Crossroads Dr Ste 110, Owings Mills, MD 21117-5444 2005-08-02
1184622615 Laurie Ann Abrams Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2005-07-08
1124224811 Brian Mark Monroe Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2007-06-21
1841203676 Wendie Anderson Berg Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2006-08-14
1780601443 Nadia J Khati-boughanem Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2006-07-17
1780622910 Jules Katz Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2006-06-02
1417901026 Meade Warren Flynn Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2006-05-19
1043271208 Ronald Jeffrey Stanfield Radiology 21 Crossroads Dr, Ste 100, Owings Mills, MD 21117-5441 2006-03-29
Find all providers in OWINGS MILLS

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City OWINGS MILLS
Zip Code 21117

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Dataset Information

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.

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