CLIFFORD L JENG (NPI# 1851339550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851339550 |
| Entity Type | Individual |
| Full Name | CLIFFORD L JENG |
| Credential | MD |
| Practice Address |
301 Saint Paul St Main Floor Baltimore MD 21202-2102 |
| Mailing Address |
301 Saint Paul St Medical Staff Office Baltimore MD 21202-2102 |
| Practice Telephone | 4106592800 |
| Practice Fax Number | 4106592999 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | D0058574 | MD | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
D0058574 | MD | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
D0058574 | MD | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
D0058574 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 432152900 | 05 | |
| MD | BLUECHOICE | F730 / 0002 | 01 |
| MD | BC / BS OF MD | KBM7 / 615260-01 | 01 |
| Street Address |
301 SAINT PAUL ST MAIN FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173436 | Hwan Young Yoo | Internal Medicine | 301 Saint Paul St, Suite 718, Baltimore, MD 21202-2102 | 2005-09-08 |
| 1336790021 | Haley Ann Jacobs | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-09-24 |
| 1992365902 | Angeline Kathleen Williams | Nurse Practitioner | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-06-20 |
| 1508424128 | Judy Aivette Moreno | Nurse Practitioner | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-05-29 |
| 1497221147 | Vanessa De Assis | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-10-21 |
| 1134695141 | Dennise Ramirez | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-10-17 |
| 1558844134 | Marie Lockard | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-09-10 |
| 1316428782 | Christina Santos Garcia | Physical Therapist | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-08-23 |
| 1366922643 | Julianne Katherine Cannon | Physical Therapist | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-08-16 |
| 1437674405 | Brittany Dashiell | Orthopaedic Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2017-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875173 | Andrew Tyler Wilson | Orthopaedic Surgery | 10 N Greene St, Baltimore, MD 21201-1524 | 2018-09-21 |
| 1194176297 | Kelsey Millonig | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2016-06-29 |
| 1407252752 | Sinai Hospital of Baltimore, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Schoenemen Building, Baltimore, MD 21215-5216 | 2014-11-14 |
| 1801130422 | Johns Hopkins University | Orthopaedic Surgery | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2012-11-20 |
| 1679843585 | Stephen Kelly Jacobsen | Orthopaedic Surgery | The Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287-0001 | 2012-01-09 |
| 1528359569 | Natalie Rondinelli Danna | Orthopaedic Surgery | 110 S Paca St Fl 6, Baltimore, MD 21201-1645 | 2011-04-25 |
| 1043299852 | James R Ficke | Orthopaedic Surgery | 601 N Caroline St, Jhoc 5215, Baltimore, MD 21278-0006 | 2006-01-10 |
| 1316925662 | Steven A Kulik Jr. | Orthopaedic Surgery | 5601 Loch Raven Blvd, Smyth Bldg., Suite G-1, Baltimore, MD 21239-2905 | 2006-01-06 |
| 1508854498 | Ian M Weiner | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558600924 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 910 Frederick Rd, Catonsville, MD 21228 | 2013-02-05 |
| 1194046854 | Jerry S. Farber Md Pa | Orthopaedic Surgery | 2415 Musgrove Rd, 107, Silver Spring, MD 20904-5200 | 2010-06-17 |
| 1275793168 | Greater Metropolitan Orthopaedics | Orthopaedic Surgery | 11325 Pembrooke Square, Suite 115, Waldorf, MD 20603 | 2008-06-13 |
| 1689861106 | John Joseph Keeling | Orthopaedic Surgery | 8401 Connecticut Ave, Suite 800, Chevy Chase, MD 20815-5803 | 2007-09-28 |
| 1831264720 | Frederick George Lippert IIi | Orthopaedic Surgery | National Naval Medical Ctr, Department of Orthopaedics, Bethesda, MD 20889-0001 | 2006-11-24 |
| 1417057795 | Edward G. Magur | Orthopaedic Surgery | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2006-09-25 |
| 1386665735 | Jeffrey T Brodie | Orthopaedic Surgery | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2006-07-21 |
| 1669475216 | Edward S Holt | Orthopaedic Surgery | 2000 Medical Pkwy, Suite 101, Annapolis, MD 21401-3742 | 2005-05-27 |
| 1134122716 | James W Palumbo | Orthopaedic Surgery | 510 Idlewild Ave, Easton, MD 21601-3824 | 2005-05-27 |
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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.