JERRY VARGHESE


Address: 7141 Security Blvd, Baltimore, MD 21244-1811
Phone: 4436636000

JERRY VARGHESE (NPI# 1841279874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841279874
Entity Type Individual
Full Name JERRY VARGHESE
Credential MD
Practice Address 7141 Security Blvd
Baltimore
MD 21244-1811
Practice Telephone 4436636000
Practice Fax Number 4436636215
Mailing Telephone 4436636000
Mailing Fax Number 4436636215
Enumeration Date 2006-01-09
Last Update Date 2008-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 35085028 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2507755 05

Office Location

Street Address 7141 SECURITY BLVD
City BALTIMORE
State MD
Zip Code 21244-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659363885 Fiona F Meller-azrieli Internal Medicine 7141 Security Blvd, Baltimore, MD 21244-1811 2005-08-15
1447898531 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 7141 Security Blvd, Baltimore, MD 21244-1811 2019-12-19
1104385301 Kisha Mary Selby Registered Nurse 7141 Security Blvd, Baltimore, MD 21244-1811 2019-03-18
1932631918 Jennifer Taylor Ratta Dietitian, Registered 7141 Security Blvd, Baltimore, MD 21244-1811 2017-03-30
1033578364 Kaiser Foundation Health Plan of The Mid Atlantic States, Inc Clinic/Center 7141 Security Blvd, Baltimore, MD 21244-1811 2016-02-15
1376908020 Renee Farmer Pharmacist 7141 Security Blvd, Baltimore, MD 21244-1811 2015-12-23
1144656521 Dennis Artiga De Leon Physical Therapist 7141 Security Blvd, Baltimore, MD 21244-1811 2013-09-18
1629413901 Alexandra Macleod Grimes Pharmacist 7141 Security Blvd, Baltimore, MD 21244-1811 2013-05-01
1528309051 Howard Seto Gwon Pharmacist 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 2013-03-07
1255672853 Karina Elaine Holland Pharmacist 7141 Security Blvd, Baltimore, MD 21244-1811 2013-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235748468 Sinnai Behavioral Health Services Inc Psychiatric Residential Treatment Facility 3610 Milford Road, Third Floor, Baltimore, MD 21244 2020-07-23
1023655370 Flourish Healthcare Solutions, LLC Home Health Aide 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 2019-12-05
1265078471 Chika Cares Pre-diabetes Workshop LLC Public Health or Welfare St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 2019-11-22
1306318761 Elana Rose Dorfman Social Worker 7205 Rutherford Road, Windsor Mill, MD 21244 2018-12-26
1235618406 Stacy Solte Antonio Physical Therapy Assistant 7141 Security Blvd., Woodlawn, MD 21244 2018-08-08
1831675446 Martha Marie Brown Behavior Technician 7901 Subet Rd, Windsor Mill, MD 21244 2018-07-17
1003306671 Bk Faithful Enterprises Consulting, LLC Dentist 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 2018-05-18
1235640475 Kingsley Awah Home Health Aide 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 2017-10-16
1316465917 Elizabeth Duggan Occupational Therapist 7141 Security Blvd, Md 21244, Baltimore, MD 21244 2017-09-03
1326565052 Latoya Womack Registered Nurse 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 2017-08-24
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184272296 Federal Hill Pediatric Center Internal Medicine 724 Light St Ste A, Baltimore, MD 21230-3813 2019-09-02
1861051096 Intermed Associates Ipa, LLC Internal Medicine 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 2019-06-11
1720540925 Johns Hopkins Community Physicians Internal Medicine 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 2019-04-05
1013488188 Atlantic Medical Associates, LLC Internal Medicine 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 2018-12-16
1700386109 Burke Medical, P.C. Internal Medicine 8 Market Pl Ste 300, Baltimore, MD 21202-4113 2018-02-13
1538695598 Hisham Ahmed Farhan Internal Medicine 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 2017-05-11
1538692652 Thi Khuc Internal Medicine 22 S Greene St # N3w156, Baltimore, MD 21201-1544 2017-04-05
1053868646 Apurva Sharma Internal Medicine 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 2016-09-01
1053761031 Seyed Mohammad Hodanazari Internal Medicine 727 W 40th St # A215, Baltimore, MD 21211-2105 2016-06-21
1568824522 Alaina Christine Chodoff Internal Medicine 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 2016-03-28
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City BALTIMORE
Zip Code 21244

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Dataset Information

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.

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