DR. SHIV KAPOOR III (NPI# 1790755635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790755635 |
| Entity Type | Individual |
| Full Name | DR. SHIV KAPOOR III |
| Credential | M.D. |
| Practice Address |
301 Saint Paul St Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 62063 Baltimore MD 21264-2063 |
| Practice Telephone | 4103329594 |
| Practice Fax Number | 4107835575 |
| Mailing Telephone | 4107065181 |
| Mailing Fax Number | 4107065103 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D50775 | MD | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4971 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 413107000 | 05 | |
| SD | 6701500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982785309 | Shiv Suman Kapoor | Internal Medicine | 4652 Partners Place, Liberty Township, OH 45011 | 2006-10-19 |
| Street Address |
301 SAINT PAUL ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173436 | Hwan Young Yoo | Internal Medicine | 301 Saint Paul St, Suite 718, Baltimore, MD 21202-2102 | 2005-09-08 |
| 1336790021 | Haley Ann Jacobs | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-09-24 |
| 1992365902 | Angeline Kathleen Williams | Nurse Practitioner | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-06-20 |
| 1508424128 | Judy Aivette Moreno | Nurse Practitioner | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-05-29 |
| 1497221147 | Vanessa De Assis | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-10-21 |
| 1134695141 | Dennise Ramirez | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-10-17 |
| 1558844134 | Marie Lockard | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-09-10 |
| 1316428782 | Christina Santos Garcia | Physical Therapist | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-08-23 |
| 1366922643 | Julianne Katherine Cannon | Physical Therapist | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-08-16 |
| 1437674405 | Brittany Dashiell | Orthopaedic Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2017-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301306 | Suneetha Desiraju | Pediatrics | 4940 Eastern Ave Bldg Aa2, Baltimore, MD 21224-2735 | 2013-03-31 |
| 1013277441 | Christine Capriolo | Pediatrics | 22 S Greene St # N4wicu, Baltimore, MD 21201-1544 | 2012-05-18 |
| 1235315581 | Bruce Ryland Boynton | Pediatrics | 4209 Newgate Ave, Canton Pier 11, Baltimore, MD 21224-6416 | 2008-01-17 |
| 1962446328 | Akhil Maheshwari | Pediatrics | 1800 Orleans St # 8s852, Baltimore, MD 21287 | 2006-06-16 |
| 1679114581 | Susan M Kelly | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2019-10-01 |
| 1306308937 | Jennifer Elizabeth Bivens | Pediatrics | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2019-04-02 |
| 1073964441 | Rebecca Suflas | Pediatrics | 110 S Paca St Fl 8, Baltimore, MD 21201 | 2016-06-28 |
| 1962896282 | Cecilia Kwak | Pediatrics | 1800 Orleans St, The Johns Hopkins Hospital, Baltimore, MD 21287-0010 | 2015-03-25 |
| 1245640770 | Francesca Okolie | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-05-06 |
| 1073932661 | Deepika Chadive | Pediatrics | 2401 West Belvedere Ave, Baltimore, MD 21215-2121 | 2014-04-10 |
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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.