DR. ANA PONCE KIESS (NPI# 1770744716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770744716 |
| Entity Type | Individual |
| Full Name | DR. ANA PONCE KIESS |
| Credential | M.D., PH.D. |
| Practice Address |
401 S Broadway Suite 1440 Baltimore MD 21231-2431 |
| Mailing Address |
401 North Broadway Suite 1440 Baltimore MD 21231 |
| Practice Telephone | 4432877528 |
| Practice Fax Number | 4105021419 |
| Mailing Telephone | 4432877528 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D75730 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
D0075730 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 069086400 | 05 | |
| MD | GROUP MC PTAN | 230340 | 01 |
| Street Address |
401 S BROADWAY SUITE 1440 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739412 | Meghan O'brien | Nurse Practitioner | 401 S Broadway, Baltimore, MD 21231-2431 | 2020-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
| 1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| 1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| Find all providers in zip 21231 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 1598788721 | Leslie R. Holmes | Radiology | Sinai Hospital, 2401 W. Belvedere Ave., Baltimore, MD 21215 | 2006-07-26 |
| 1295796761 | Robert Savary Malyapa | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2006-03-31 |
| 1376544494 | Marcos Tepper | Radiology | 7104 Mariposa Rd, Baltimore, MD 21209 | 2005-08-10 |
| 1649757006 | Ankur Markand Sharma | Radiology | 850 W Baltimore St, Baltimore, MD 21201-1110 | 2018-07-27 |
| 1871988261 | Najeeb Crossley | Radiology | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2015-04-02 |
| 1801214689 | Melissa Ana Liriano Vyfhuis | Radiology | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2014-03-31 |
| 1265876973 | Jason Kyle Molitoris | Radiology | 6565 N Charles St Ste 203, Baltimore, MD 21204-5805 | 2013-04-24 |
| 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.