KRAIG A. MELVILLE (NPI# 1821043266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821043266 |
| Entity Type | Individual |
| Full Name | KRAIG A. MELVILLE |
| Practice Address |
900 S Caton Ave Baltimore MD 21229-5201 |
| Mailing Address |
1030 Double Gate Rd Davidsonville MD 21035-1807 |
| Practice Telephone | 4103682014 |
| Mailing Telephone | 4107988213 |
| Mailing Fax Number | 4107988534 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
D0050708 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 543213800 | 05 |
| Street Address |
900 S CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730150004 | Anamika Khatri-dua | Pediatrics | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2006-01-27 |
| 1952901860 | Jonathan Vargas Salangsang | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-10-29 |
| 1861092025 | Apostolos Paspaltzis | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-10-27 |
| 1841806999 | Kishor Pokharel | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-09-23 |
| 1154936888 | Stepan Snitcar | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-09-10 |
| 1073127783 | Mueen Megdadi | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-09-01 |
| 1366055915 | Anna Axentiev | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-08-24 |
| 1710596069 | Princess Little | Social Worker | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-07-23 |
| 1912523424 | Aashish Acharya | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2020-06-20 |
| 1811513328 | Abdullah Ahmadou | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5299 | 2020-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194857797 | Robert Redwood Bass | Emergency Medicine | 653 W Pratt St, Baltimore, MD 21201-1536 | 2007-03-09 |
| 1306402136 | Nadege Baptiste-delerme | Emergency Medicine | 110 S Paca St Fl 6, Baltimore, MD 21201-1645 | 2019-05-16 |
| 1184745671 | William Paul Fabbri | Emergency Medicine | 701 Wilson Point Rd, Suite 102, Baltimore, MD 21044-4238 | 2007-04-02 |
| 1831235340 | Tina Marie Latimer | Emergency Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2007-01-30 |
| 1134182439 | David L Meyers | Emergency Medicine | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234021 | Nathan Ryan Lewis | Emergency Medicine | 30049 Mount Vernon Rd, Princess Anne, MD 21853-2251 | 2019-09-18 |
| 1578942223 | Access Now Urgent Care LLC | Emergency Medicine | 11406 Georgia Ave Ste F, Wheaton, MD 20902-1944 | 2015-05-28 |
| 1427266261 | Alisa Mae Larbalestrier | Emergency Medicine | 301 Hospital Drive, Emergency Department, Baltimore Washington Medical Center, Glen Burnie, MD 21061 | 2007-05-17 |
| 1528180684 | Edward Gaynor Rupert | Emergency Medicine | 8000 Knollwood St, Brandywine, MD 20613-7656 | 2007-04-06 |
| 1578586483 | Joseph S. Fastow | Emergency Medicine | 200 Memorial Hospital, Prince Frederick, MD 20678 | 2006-07-25 |
| 1598795510 | Chester Walk-in Center | Emergency Medicine | 1114 Didonato Dr, Chester, MD 21619-2663 | 2006-07-04 |
| 1083657761 | Eddie Alejandro Fernandez | Emergency Medicine | 831 University Blvd E # 24-25, Silver Spring, MD 20903-2916 | 2006-06-13 |
| 1558327031 | John R. Greene IIi | Emergency Medicine | 251 Harry S Truman Dr, Apt 31, Largo, MD 20774-2044 | 2006-04-25 |
| 1134117393 | Emergency Medicine Associates P.a., P.C. | Emergency Medicine | 11890 Healing Way, Silver Spring, MD 20904-7917 | 2005-10-12 |
| 1598752271 | Joseph S Crisanti | Emergency Medicine | 12547 Ocean Gateway, Ocean City, MD 21842-9341 | 2005-09-29 |
| Find all providers with the same taxonomy | ||||
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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.