THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. (NPI# 1801028105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801028105 |
| Entity Type | Organization |
| Organization Name | THE GOOD SAMARITAN HOSPITAL OF MARYLAND, INC. |
| Practice Address |
5601 Loch Raven Blvd Rmb, Suite 103 Baltimore MD 21239-2905 |
| Mailing Address |
5601 Loch Raven Blvd Baltimore MD 21239-2905 |
| Practice Telephone | 4434443991 |
| Mailing Telephone | 4434448000 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | DEANA STOUT (V.P. OF FINANCE) |
| Authorized Official Telephone | 4434443841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/BS MD | FY01GO | 01 |
| MD | CAREFIRST BC/BS DC | 9329 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1437396959 | The Good Samaritan Hospital of Maryland, Inc. | Dietitian, Registered | 5601loch Raven Blvd., Baltimore, MD 21239-2095 | 2009-01-21 |
| 1154647303 | The Good Samaritan Hospital of Maryland, Inc. | Internal Medicine | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2010-04-13 |
| 1881910032 | The Good Samaritan Hospital of Maryland, Inc. | Internal Medicine | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2010-04-13 |
| 1740503945 | The Good Samaritan Hospital of Maryland, Inc. | Counselor | 5601 Loch Raven Blvd, Russell Morgan Building, Suite 406, Baltimore, MD 21239-2905 | 2010-03-03 |
| 1528290830 | The Good Samaritan Hospital of Maryland, Inc. | Internal Medicine | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1942432257 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Pob, Suite 106, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1568694875 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1225276702 | The Good Samaritan Hospital of Maryland, Inc. | Psychiatry & Neurology | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-01-22 |
| Street Address |
5601 LOCH RAVEN BLVD RMB, SUITE 103 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114233012 | Kenneth Miller Md LLC | Internal Medicine | 2411 West Belvedere Avenue, 202, Baltimore, MD 21215 | 2010-08-30 |
| 1548573660 | Wanqing Iris Zhi | Internal Medicine | The Sidney Kimmel Comprehensive Ctr, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2010-07-18 |
| 1073755765 | Lukasz Pawel Gondek | Internal Medicine | 1650 Orleans St # 1-290, Baltimore, MD 21287-0013 | 2009-03-27 |
| 1831331644 | Daniel Kejzman | Internal Medicine | 1650 Orleans Street, Baltimore, MD 21231-1000 | 2009-03-26 |
| 1245480607 | Jean H. Hoffman-censits | Internal Medicine | 1800 Orleans St Rm 1m40, Baltimore, MD 21287 | 2008-09-23 |
| 1467652826 | Samuel Zygler | Internal Medicine | 2524 Farringdon Rd, Baltimore, MD 21209-2543 | 2007-07-23 |
| 1710033402 | Josh David Lauring | Internal Medicine | Crb I Rm 146, 1650 Orleans St, Baltimore, MD 21287-0001 | 2007-01-26 |
| 1649385634 | Panayotis Ledakis | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| 1467460345 | Ali Cahid Civelek | Internal Medicine | 601 N Caroline St Ste 3223a, Baltimore, MD 21287-0006 | 2006-08-04 |
| 1538184056 | Mary J Wilkinson | Internal Medicine | 1800 Orleans St Fl 10, Baltimore, MD 21287-0010 | 2006-07-13 |
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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.