KATHLEEN BOCSKOR (NPI# 1740664341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740664341 |
| Entity Type | Individual |
| Full Name | KATHLEEN BOCSKOR |
| Credential | NP- FAMILY |
| Practice Address |
2112 Dundalk Ave Baltimore MD 21222-3714 |
| Practice Telephone | 4102884800 |
| Mailing Telephone | 4102884800 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R220716 | MD | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 686422-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R220716 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2112 DUNDALK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21222-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535452 | Beth Ann Waddell-vandegeijn | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2005-06-01 |
| 1053954750 | Regine Beliard Veillard | Pharmacist | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-10-25 |
| 1760036834 | Meghan Estock Roman | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-07-27 |
| 1780069658 | Nicole Maffia | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2015-07-21 |
| 1184915498 | Brendan Day | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2011-04-21 |
| 1770882631 | Ayesha Anwar Butt | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2011-03-17 |
| 1255415873 | Swati D Phatak | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-10-24 |
| 1033213301 | Susan T Shultz | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1497859763 | Anthony J Harrell | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1710914296 | Marcia F. Schwartz | Pediatrics | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
| 1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
| 1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
| 1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
| 1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
| 1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
| 1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
| 1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
| 1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
| Find all providers in BALTIMORE | ||||
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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.