LYDIA PECKER (NPI# 1891074233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891074233 |
| Entity Type | Individual |
| Full Name | LYDIA PECKER |
| Credential | MD |
| Practice Address |
720 Rutland Ave Baltimore MD 21205 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4109556132 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
D82289 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3450 Wayne Ave, Apt 28n, Bronx, NY 104672510 | 7187412200 |
| Street Address |
720 RUTLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013978287 | Jayme E Locke | Transplant Surgery | 720 Rutland Ave, Ross Research Building, Room765, Baltimore, MD 21205 | 2006-03-29 |
| 1598129835 | Melissa Chen | Surgery | 720 Rutland Ave, Ross 771, Baltimore, MD 21205-2109 | 2016-04-13 |
| 1760843627 | Denise Marie Bekkouri | Nurse Practitioner | 720 Rutland Ave, Johns Hopkins Pediatric Hematology, Ross 1125, Baltimore, MD 21205-2109 | 2016-03-18 |
| 1497157770 | Charbel Chalouhy | Transplant Surgery | 720 Rutland Ave, Ross 765, Baltimore, MD 21205-2109 | 2014-09-18 |
| 1154681351 | Kate Knott | Nurse Practitioner | 720 Rutland Ave, Turner 36, Baltimore, MD 21205-2109 | 2012-05-22 |
| 1538435573 | Christopher B Umbricht | Internal Medicine | 720 Rutland Ave, Baltimore, MD 21205-2109 | 2012-03-23 |
| 1023328457 | Daniela Cihakova | Pathology | 720 Rutland Ave, Ross Building 648, Baltimore, MD 21205-2109 | 2010-10-19 |
| 1184932428 | Elaina Patrice Weldon | Nurse Practitioner | 720 Rutland Ave, Baltimore, MD 21205-2109 | 2010-09-21 |
| 1700104973 | David Nauen | Pathology | 720 Rutland Ave, Ross Building 558, Baltimore, MD 21205-2109 | 2010-05-12 |
| 1922259308 | Miguel Santaularia Tomas | Internal Medicine | 720 Rutland Ave, Johns Hopkins University Ross Building, Room 1044, Baltimore, MD 21205-2109 | 2008-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851730097 | Abdulhafiz Zakieh | Pediatrics | 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 | 2013-06-20 |
| 1568605467 | Challice L Bonifant | Pediatrics | 1650 Orleans St # 242, Baltimore, MD 21287-0013 | 2009-04-08 |
| 1023218377 | Francis Jay Mussai | Pediatrics | Pediatric Oncology Johns Hopkins Hospital, Cmsc 800, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2007-07-24 |
| 1427194661 | Meredith Chuk | Pediatrics | Johns Hopkins Hospital 600 North Wolfe St, Cmsc 800, Baltimore, MD 21287-0001 | 2007-01-29 |
| 1093287286 | Kathleen Kaspar | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-12-28 |
| 1992192249 | Michael Hoffmann Chan | Pediatrics | 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 | 2015-04-23 |
| 1679919948 | Emily Southard Rao | Pediatrics | 720 Rutland Ave # Ross1125, Baltimore, MD 21205-2109 | 2013-05-14 |
| 1811230048 | Yevgeniya Bamme | Pediatrics | 2401 W Belvedere Ave, Department of Pediatric Hematology/oncology, Baltimore, MD 21215 | 2013-04-06 |
| 1306188206 | John Ligon | Pediatrics | 1800 Orleans St Rm 11379, Baltimore, MD 21287 | 2013-03-19 |
| 1053678409 | Kathryn M Lemberg | Pediatrics | 1800 Orleans St, Bloomberg 11n, Baltimore, MD 21287-0010 | 2012-04-23 |
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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.