MARYLAND SPINE CENTER CHARTERED (NPI# 1952418535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952418535 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPINE CENTER CHARTERED |
| Practice Address |
301 St Paul Place Spine Center, Lower Level Baltimore MD 21202 |
| Mailing Address |
Po Box 418375 Boston MA 02241-8375 |
| Practice Telephone | 4105393434 |
| Practice Fax Number | 4103662202 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | CHARLES EDWARDS, II (TITLE) |
| Authorized Official Telephone | 4106592802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 374002100 | 05 | |
| MD | BLUE CHOICE | F 482 | 01 |
| BC / BS OF MD | LZ51 | 01 |
| Street Address |
301 ST PAUL PLACE SPINE CENTER, LOWER LEVEL |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173717 | Mara Vucich | Physical Medicine & Rehabilitation | 301 St Paul Place, Baltimore, MD 21202-4600 | 2005-09-07 |
| 1336747195 | Susan Hamilton | Pharmacist | 301 St Paul Place, Baltimore, MD 21202 | 2020-10-14 |
| 1528547445 | Danielle Hayden | Physician Assistant | 301 St Paul Place, Baltimore, MD 21202 | 2018-08-10 |
| 1912369661 | Carey Bradley Cezar | Advanced Practice Midwife | 301 St Paul Place, Baltimore, MD 21202 | 2016-03-22 |
| 1881073997 | Harry Auster | Physician Assistant | 301 St Paul Place, Baltimore, MD 21202 | 2015-05-21 |
| 1316365349 | Jason Preissig | Dermatology | 301 St Paul Place, Suite 607, Baltimore, MD 21202-2102 | 2014-04-07 |
| 1114351533 | Jeanmarie Greco Modresky | Pharmacist | 301 St Paul Place, Baltimore, MD 21202 | 2013-08-22 |
| 1528300977 | Andrea Limpuangthip | Internal Medicine | 301 St Paul Place, Baltimore, MD 21202 | 2013-03-25 |
| 1942463542 | Richard Desi | Internal Medicine | 301 St Paul Place, # 718, Baltimore, MD 21202 | 2008-07-03 |
| 1285800136 | Joel D Meshulam Md LLC | Internal Medicine | 301 St Paul Place, #804, Baltimore, MD 21202-2102 | 2008-05-01 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767643 | Mohammad Mofreh S Altaleb | Orthopaedic Surgery | 601 North Caroline Street / Rm 5223, Baltimore, MD 21287-0882 | 2019-12-16 |
| 1215956529 | Randy Frank Davis | Orthopaedic Surgery | 3500 Boston St Ste J2, Baltimore, MD 21224-5251 | 2006-07-18 |
| 1376510446 | Benjamin N Carr | Orthopaedic Surgery | 2700 Quarry Lake Dr #300, Baltimore, MD 21209-3746 | 2006-03-07 |
| 1073909461 | Franklin Lee | Orthopaedic Surgery | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2015-04-13 |
| 1134486384 | Amit Jain | Orthopaedic Surgery | 601 N Caroline St, Baltimore, MD 21287 | 2012-04-12 |
| 1144431180 | Clayton L Dean | Orthopaedic Surgery | 301 Saint Paul St, Maryland Spine Center, Baltimore, MD 21202-2102 | 2007-05-24 |
| 1851435408 | Kelley E. Banagan | Orthopaedic Surgery | 22 S Greene St, Suite 11b, Baltimore, MD 21201-1544 | 2007-02-16 |
| 1013984673 | John J Carbone | Orthopaedic Surgery | 3001 S Hanover St, Gruehn Bldg, Ste 502, Baltimore, MD 21225-1233 | 2006-03-02 |
| 1215925474 | Mark S Rosenthal | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598273849 | Joint Replacement Cin of Dc LLC | Orthopaedic Surgery | 1 Research Ct Ste 450b, Rockville, MD 20850-3221 | 2018-01-19 |
| 1386152262 | Spine Cin of Dc LLC | Orthopaedic Surgery | 1 Research Ct Ste 450a, Rockville, MD 20850-3221 | 2018-01-13 |
| 1497020960 | Peter Dean Landin | Orthopaedic Surgery | 523 S Washington St, Easton, MD 21601-2826 | 2012-03-17 |
| 1396842324 | Jose Bigol Corvera | Orthopaedic Surgery | 9 Fox Knoll Ct, Timonium, MD 21093-2847 | 2006-09-20 |
| 1023071206 | Said Goto Osman | Orthopaedic Surgery | 1003 W 7th St Ste 503, Frederick, MD 21701-8512 | 2006-04-10 |
| 1194230383 | Advanced Pain Management, LLC | Orthopaedic Surgery | 1050 Key Pkwy Ste 103, Frederick, MD 21702 | 2017-12-10 |
| 1326583006 | Advanced Spine Endoscopy and Pain Institute | Orthopaedic Surgery | 1003 W 7th St Ste 503, Frederick, MD 21701-8512 | 2017-01-04 |
| 1861636458 | Michael Vernon Mills | Orthopaedic Surgery | 8116 Good Luck Rd Ste 200, Lanham, MD 20706-3508 | 2009-04-27 |
| 1437317005 | Ojedapo A. Ojeyemi | Orthopaedic Surgery | 1050 Key Pkwy Ste 103, Frederick, MD 21702-4496 | 2008-05-29 |
| 1992962153 | Antoniades Spine L.L.C. | Orthopaedic Surgery | 615 W Macphail Rd, Suite 210, Bel Air, MD 21014-4309 | 2008-05-16 |
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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.