BALTIMORE MEDICAL SYSTEM INC (NPI# 1902802705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902802705 |
Entity Type | Organization |
Organization Name | BALTIMORE MEDICAL SYSTEM INC |
Practice Address |
3120 Erdman Ave Baltimore MD 21213-1720 |
Mailing Address |
3501 Sinclair Ln Baltimore MD 21213-2029 |
Practice Telephone | 4105584800 |
Practice Fax Number | 4106758947 |
Mailing Telephone | 4107328800 |
Mailing Fax Number | 4103271693 |
Enumeration Date | 2005-06-27 |
Last Update Date | 2018-04-05 |
Authorized Official Name | MICHELE T LAGANA (CFO) |
Authorized Official Telephone | 4105584965 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 376751502 | 05 | |
MD | 376751500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699292110 | Baltimore Medical System Inc | Clinic/Center | 3701 Eldorado Avenue, Baltimore, MD 21207-7658 | 2017-08-25 |
1396366308 | Baltimore Medical System Inc | Clinic/Center | 1000 E Eager St, Baltimore, MD 21202-5533 | 2020-04-30 |
1063050169 | Baltimore Medical System Inc | Clinic/Center | 7501 Greenway Center Dr Ste 600, Greenbelt, MD 20770-6704 | 2019-12-19 |
1851817431 | Baltimore Medical System Inc | Clinic/Center | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-16 |
1205362837 | Baltimore Medical System Inc | Clinic/Center | 1001 Pine Heights Ave, Baltimore, MD 21229-5208 | 2017-05-02 |
1427299817 | Baltimore Medical System Inc | Pharmacy | 2323 Orleans St, Baltimore, MD 21224-1020 | 2009-03-13 |
1073754461 | Baltimore Medical System Inc | Pharmacy | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2009-03-13 |
1336380724 | Baltimore Medical System Inc | Pharmacy | 3700 Fleet St, Suite 100, Baltimore, MD 21224-4200 | 2009-03-13 |
1811993611 | Baltimore Medical System Inc | Clinic/Center | 900 Caton Ave, Baltimore, MD 21229-5201 | 2005-06-27 |
1548266547 | Baltimore Medical System Inc | Clinic/Center | 3700 Fleet St, Suite 200, Baltimore, MD 21224-4230 | 2005-06-23 |
Street Address |
3120 ERDMAN AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21213-1720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659375004 | Jimmie Julius Drummond Jr. | Family Medicine | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2005-06-13 |
1942718614 | Wayne Palmer | Psychiatry & Neurology | 3120 Erdman Ave, Baltimore, MD 21213 | 2018-01-16 |
1215304977 | Angeline Motari Mokaya | Nurse Practitioner | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2015-08-28 |
1306230081 | Amanda Crystal Hines | Social Worker | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2015-03-20 |
1700289535 | Rebecca A. Helem | Social Worker | 3120 Erdman Ave, Baltimore, MD 21213 | 2014-10-07 |
1992116685 | Anna C Lamasa | Nurse Practitioner | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2014-05-15 |
1891067989 | Kathleen P Porter | Nurse Practitioner | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2012-02-03 |
1871888289 | Karin Mirkin | Family Medicine | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2011-06-14 |
1720378383 | Naima Subira Spradley | Family Medicine | 3120 Erdman Ave, Baltimore, MD 21213-1202 | 2011-04-15 |
1073754461 | Baltimore Medical System Inc | Pharmacy | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2009-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
1538627807 | Beverly V Whittaker-mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
1700398914 | Ags Programs LLC | Clinic/Center | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
1699205294 | Live & Let Live LLC | Counselor | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
1174052518 | Vel J Humbert | Counselor | 3549 Elmley Ave, Baltimore, MD 21213 | 2017-06-08 |
1134676620 | Larry Kirkland | Counselor | 3051 Sinclair Lane, Baltimore, MD 21213 | 2016-09-01 |
1093170862 | Renewed Minds Therapeutic Services LLC | Clinic/Center | 1515 E Biddle Street, Baltimore, MD 21213 | 2015-12-22 |
1073980827 | Family Therapy Services,llc | Counselor | 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 | 2015-08-27 |
Find all providers in zip 21213 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699292110 | Baltimore Medical System Inc | Clinic/Center | 3701 Eldorado Avenue, Baltimore, MD 21207-7658 | 2017-08-25 |
1083087878 | Mergenthaler Vocational-technical High School | Clinic/Center | 3500 Hillen Rd, Baltimore, MD 21218-2227 | 2015-11-03 |
1952778573 | Vanguard Collegiate Middle School | Clinic/Center | 5000 Truesdale Rd, Baltimore, MD 21206-6145 | 2015-08-31 |
1881087336 | Total Health Care Inc | Clinic/Center | 200 E 33rd St Ste 265, Baltimore, MD 21218-3377 | 2015-03-09 |
1346664562 | Patterson High School | Clinic/Center | 100 Kane Street, Baltimore, MD 21224 | 2014-02-07 |
1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
1619248515 | Baltimore Medical System, Inc. | Clinic/Center | 600 N Patterson Park Ave, Baltimore, MD 21205-2447 | 2012-01-24 |
1942501150 | Baltimore Medical System, Inc | Clinic/Center | 1101 N Wolfe St, Baltimore, MD 21213-3310 | 2010-11-04 |
1346540606 | Total Health Care, Inc. | Clinic/Center | 827 Linden Boulevard, Baltimore, MD 21202 | 2010-11-02 |
1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
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.