THOMAS J KRISANDA (NPI# 1770648370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770648370 |
| Entity Type | Individual |
| Full Name | THOMAS J KRISANDA |
| Credential | MD |
| Practice Address |
5401 Old Court Road Northwest Hospital Emergency Dept. Randallstown MD 21133 |
| Practice Telephone | 4105215950 |
| Practice Fax Number | 4108286004 |
| Mailing Telephone | 4105215950 |
| Mailing Fax Number | 4108286004 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD-043477-E | PA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD043477E | PA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | D0053345 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE SHIELD | 75859901 | 01 |
| MD | 246601500 | 05 | |
| MD | RAILROAD MED | 930078599 | 01 |
| Street Address |
5401 OLD COURT ROAD NORTHWEST HOSPITAL EMERGENCY DEPT. |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417993205 | Lisa M Quarles | Physician Assistant | 5401 Old Court Road, Northwest Hospital, Randallstown, MD 21133 | 2006-06-21 |
| 1669038436 | Julie Radnoff | Physical Therapist | 5401 Old Court Road, Randallstown, MD 21133 | 2019-05-16 |
| 1508291410 | Kristy Michelle Fogle | Physician Assistant | 5401 Old Court Road, Northwest Hospital-emergency Department, Randallstown, MD 21133 | 2013-09-10 |
| 1710083241 | Mayer Gorbaty | Internal Medicine | 5401 Old Court Road, Northwest Hospital, Randallstown, MD 21133 | 2006-09-15 |
| 1013939255 | Mario Klimentov Dimitrov | Physician Assistant | 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 | 2006-07-24 |
| 1538181888 | Kathleen A Ryan | Physician Assistant | 5401 Old Court Road, Northwest Hospital Center, Randallstown, MD 21133 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770805715 | Paula M Appiah | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2010-02-18 |
| 1508076639 | Jonathan Sidney Thierman | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2007-05-24 |
| 1780730242 | Erica Tobin Joseph | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2007-01-26 |
| 1821144643 | Paradis K. Reed | Emergency Medicine | 5401 Old Court Rd, Department of Emergency Medicine, Randallstown, MD 21133-5103 | 2007-01-26 |
| 1871648774 | Thomas O'toole | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2007-01-24 |
| 1952403073 | Clifford Faber | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-09-01 |
| 1407964661 | Jennifer Ann Yorke | Emergency Medicine | 5401 Old Court Rd, Northwest Hospital Emergency Dept, Randallstown, MD 21133-5103 | 2006-08-28 |
| 1568577070 | Michael De Wit | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-08-21 |
| 1114969284 | Debra Freeman | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-06-12 |
| 1679526347 | Randall Emergency Physicians LLC | Emergency Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2006-05-17 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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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.