DR. CAROL IVY REYNOLDS-FREEMAN


Address: 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280
Phone: 4108690100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
D0027958 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD PROVIDER ID X963 01
MH 316481100 05

Office Location

Street Address 4 W ROLLING CROSSROADS
SUITE 100
City BALTIMORE
State MD
Zip Code 21228-6280

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City BALTIMORE
Zip Code 21228

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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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