DR. JOSEPH JACK BOCKARIE TEJAN (NPI# 1922667534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922667534 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JACK BOCKARIE TEJAN |
| Practice Address |
4940 Eastern Ave Baltimore MD 21224-2735 |
| Practice Telephone | 4105503350 |
| Mailing Telephone | 4105503350 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508813569 | Joseph M Tejan | Orthopaedic Surgery | 2121 Pease St Ste 404, Harlingen, TX 78550-8338 | 2006-05-27 |
| Street Address |
4940 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295714 | Jerome M Shier | Allergy & Immunology | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2005-06-16 |
| 1740889609 | Haimanot Mulat | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-21 |
| 1457958704 | Ashley B Gemon | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-08 |
| 1235756800 | Lauren Kerrigan | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-30 |
| 1568086692 | Kathleen Campbell Mckenzie | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-04 |
| 1639791197 | Sharice Cheng | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-05-07 |
| 1679194799 | John Donald Giles | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-29 |
| 1598386971 | Meiyappan Udayappan | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-27 |
| 1972123370 | Molly Elizabeth Maresca Atwood | Psychologist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-26 |
| 1982224887 | Ofure Anita Akhiwu | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1265043160 | Kathryn Ann Ritchie | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 | 2020-08-13 |
| 1053929372 | Rod Guerrero Salgado | Student in an Organized Health Care Education/Training Program | 140 N Luzerne Ave, Baltimore, MD 21224-1147 | 2020-07-22 |
| 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 |
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1649897158 | Michael William Mikula | Student in an Organized Health Care Education/Training Program | Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-06-30 |
| 1154948743 | Kamilah S Brown | Student in an Organized Health Care Education/Training Program | 437 E Lorraine Ave, Baltimore, MD 21218-4713 | 2020-06-29 |
| 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 |
| 1467077479 | Nashedra Barry | Student in an Organized Health Care Education/Training Program | 301 N Charles St Apt M1, Baltimore, MD 21201-4397 | 2020-06-15 |
| 1205451804 | Ryan Robert Keoni Ingle | Student in an Organized Health Care Education/Training Program | 29 S Greene St Ste 400, Baltimore, MD 21201-1504 | 2020-06-10 |
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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.