DR. JACQUELINE TOBY BORK (NPI# 1881853539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881853539 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE TOBY BORK |
| Credential | M.D. |
| Practice Address |
725 W Lombard St Baltimore MD 21201-1009 |
| Mailing Address |
Po Box 64442 Baltimore MD 21264-4442 |
| Practice Telephone | 4107065651 |
| Practice Fax Number | 4107064619 |
| Mailing Telephone | 4107065651 |
| Mailing Fax Number | 4107064619 |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 255522 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
D77174 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 902504900 | 05 | |
| MD | CAREFIRST BC/BS | S062-0553 | 01 |
| Street Address |
725 W LOMBARD ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861459 | Anthea Edu Nwandu | Internal Medicine | 725 W Lombard St, Baltimore, MD 21201-1009 | 2005-09-19 |
| 1346755253 | Robert Lloyd Sheneberger | Family Medicine | 725 W Lombard St, Baltimore, MD 21201-1009 | 2017-12-14 |
| 1083063374 | Peter Ebeid | Student in an Organized Health Care Education/Training Program | 725 W Lombard St, Baltimore, MD 21201-1009 | 2016-06-07 |
| 1295194462 | Jennifer Hoffmann | Registered Nurse | 725 W Lombard St, Baltimore, MD 21201-1009 | 2016-02-17 |
| 1861644833 | Anuradha Subramanian | Internal Medicine | 725 W Lombard St, N 550, Baltimore, MD 21201-1009 | 2008-10-21 |
| 1306005897 | Jeffrey Lee Weaver | Physician Assistant | 725 W Lombard St, Suite 163 B, Baltimore, MD 21201-1009 | 2008-06-09 |
| 1205095221 | Izukanji Tembozi Sikazwe | Student in an Organized Health Care Education/Training Program | 725 W Lombard St, Infectious Disease, Baltimore, MD 21201-1009 | 2008-06-05 |
| 1033311923 | Krirk Asavametha | Student in an Organized Health Care Education/Training Program | 725 W Lombard St, Infectious Disease, Baltimore, MD 21201-1009 | 2007-06-03 |
| 1497899439 | Chinh T. Nguyen | Internal Medicine | 725 W Lombard St, Infectious Diseases, Baltimore, MD 21201-1009 | 2007-02-15 |
| 1952484297 | Mary Louise Skoglund | Nurse Practitioner | 725 W Lombard St, Baltimore, MD 21201-1009 | 2006-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689060295 | Takaaki Kobayashi | Internal Medicine | 929 N Wolfe St, #219d, Baltimore, MD 21205-1132 | 2015-04-09 |
| 1629467402 | Jessica Queen | Internal Medicine | 1717 E Monument St Bldg Ground, Baltimore, MD 21287-0027 | 2015-01-15 |
| 1053659177 | Clayton Louis Moravec Jr. | Internal Medicine | 1400 Lancaster St Apt 605, Baltimore, MD 21231-3352 | 2013-01-24 |
| 1144581885 | Ibukunolupo Odunayo Oni | Internal Medicine | Gbmc Main Hospital, 6701 North Charles Street, Suite 5100, Baltimore, MD 21204 | 2012-05-30 |
| 1568728145 | Karen Coffey | Internal Medicine | 1800 Orleans St # 522b, Baltimore, MD 21287-0010 | 2012-04-08 |
| 1992096432 | Gregory Michael Schrank | Internal Medicine | 22 S Greene St # T3n30, Baltimore, MD 21201 | 2011-05-02 |
| 1104143122 | Susan A Tuddenham | Internal Medicine | 5200 Eastern Ave Bldg Center, Division of Infectious Diseases, Suite 381, Baltimore, MD 21224-2734 | 2010-04-29 |
| 1922323732 | Jeffrey Tornheim | Internal Medicine | 5200 Eastern Ave Bldg 381, Baltimore, MD 21224-2734 | 2010-04-05 |
| 1841455177 | Daniel J Morgan | Internal Medicine | 100 N Greene St, Lower Level, Baltimore, MD 21201-1563 | 2008-07-25 |
| 1346419090 | Damani A. Piggott | Internal Medicine | 2213 Mcelderry St, 1st Floor,m141, Baltimore, MD 21205-2400 | 2008-02-27 |
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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.