DR. CAROL IVY REYNOLDS-FREEMAN (NPI# 1841281706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841281706 |
| Entity Type | Individual |
| Full Name | DR. CAROL IVY REYNOLDS-FREEMAN |
| Credential | M.D. |
| Practice Address |
4 W Rolling Crossroads Suite 100 Baltimore MD 21228-6280 |
| Mailing Address |
1829 Reisterstown Rd Suite 205 Baltimore MD 21208-6320 |
| Practice Telephone | 4108690100 |
| Practice Fax Number | 4108690460 |
| Mailing Telephone | 4106029850 |
| Mailing Fax Number | 4106029857 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
D0027958 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PROVIDER ID | X963 | 01 |
| MH | 316481100 | 05 |
| Street Address |
4 W ROLLING CROSSROADS SUITE 100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952329336 | Karen Trent-mims | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-17 |
| 1164456679 | Ramona Robinson | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-10 |
| 1205869336 | Patcharin Surichamorn | Pediatrics | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-09 |
| 1164455200 | Ruchira Thakor | Family Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-09 |
| 1790718989 | Chinwuba Onejeme | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-09 |
| 1669405171 | Mcneal Brockington | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-08 |
| 1760415293 | Gloria Fuentes | Pediatrics | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1346582244 | Katherine Maureen Carlin | Pediatrics | Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 | 2013-03-19 |
| 1528198652 | Cheryl Lynn Parks | Pediatrics | 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 | 2007-03-07 |
| 1205984796 | Michael L Zollicoffer | Pediatrics | 3502 W Rogers Ave Ste 8, Baltimore, MD 21215-4749 | 2007-01-08 |
| 1952465676 | Alain Joffe | Pediatrics | 3400 N. Charles Street, Johns Hopkins U. Student Health Center, Baltimore, MD 21218-2682 | 2006-12-20 |
| 1710954326 | Kathleen A. Awalt | Pediatrics | 8600 Lasalle Rd, Potomac Building Suite 105, Baltimore, MD 21286-2001 | 2006-03-02 |
| 1659903920 | Tellerman & Associates, LLC | Pediatrics | 711 W 40th St Ste 438, Baltimore, MD 21211-2199 | 2020-02-05 |
| 1689131575 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-02-27 |
| 1366707192 | Steven E. Caplan, M.d. P.a. | Pediatrics | 2411 W Belvedere Ave, Suite 508, Baltimore, MD 21215-5228 | 2012-07-09 |
| 1568603397 | Robert William Blum | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2009-03-06 |
| 1003077645 | Hilary Tamara Wolf | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2008-06-17 |
| 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.