FERTILITY CENTER OF MARYLAND, PA (NPI# 1952700015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952700015 |
Entity Type | Organization |
Organization Name | FERTILITY CENTER OF MARYLAND, PA |
Practice Address |
110 West Rd Suite 102 Towson MD 21204-2363 |
Practice Telephone | 4102966400 |
Practice Fax Number | 4102966405 |
Mailing Telephone | 4102966400 |
Mailing Fax Number | 4102966405 |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |
Authorized Official Name | DR. SANTIAGO LUIS PADILLA (PRESIDENT) |
Authorized Official Telephone | 4102966400 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
D0035237 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | MEDICARE ID | K867 | 01 |
Street Address |
110 WEST RD SUITE 102 |
City | TOWSON |
State | MD |
Zip Code | 21204-2363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336132901 | David L Bloom Pa | Radiology | 110 West Rd, Ste 212, Towson, MD 21204-2316 | 2005-08-29 |
1174007454 | Karen Zena B Pereira | Physical Therapist | 110 West Rd, Towson, MD 21204-2316 | 2018-09-21 |
1538554449 | Rachel Markus | Social Worker | 110 West Rd, Suite 410, Towson, MD 21204-2316 | 2015-03-30 |
1013318021 | Phoenix Medical Solutions | Durable Medical Equipment & Medical Supplies | 110 West Rd, Suite 214a, Towson, MD 21204-2316 | 2014-09-09 |
1144538497 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 110 West Rd, Suite 105, Towson, MD 21204-2316 | 2010-09-21 |
1447567847 | Marcia Lynn Benda | Physical Therapist | 110 West Rd, Suite 105, Towson, MD 21204-2316 | 2010-09-07 |
1538329305 | Arash Mike Rostami | Dentist | 110 West Rd, Suit 200, Towson, MD 21204-2316 | 2008-06-14 |
1508055849 | Life Strength Physical Therapy, Inc. | Physical Therapist | 110 West Rd, Suite 105, Towson, MD 21204-2316 | 2007-10-23 |
1134240062 | Scott Heinlein | Physical Therapist | 110 West Rd, Suite 105, Towson, MD 21204-2316 | 2007-04-02 |
1952434813 | Universal Respiratory Care, LLC | Durable Medical Equipment & Medical Supplies | 110 West Rd, Suite 203, Towson, MD 21204-2316 | 2007-03-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
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Taxonomy Code | 207VE0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Reproductive Endocrinology |
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508109372 | Selma Amrane | Obstetrics & Gynecology | 901 Dulaney Valley Road, Suite 616, Towson, MD 21204-2685 | 2013-03-31 |
1245332477 | Frederick Gordon Weinstein | Obstetrics & Gynecology | 110 West Rd, Suite 102, Towson, MD 21204-2316 | 2006-09-01 |
1346281532 | Eugene Katz | Obstetrics & Gynecology | 901 Dulaney Valley Rd, Suite616, Towson, MD 21204-2600 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194378034 | Shelley Ruth Slaughter | Obstetrics & Gynecology | 109003 New Hampshire Avenue, Silver Spring, MD 20993-0002 | 2019-07-19 |
1093120156 | Anne Martini | Obstetrics & Gynecology | 10 Center Drive Bldg 10 Room 8n248b Msc 1840, Bethesda, MD 20892 | 2014-06-27 |
1598186256 | Ta | Obstetrics & Gynecology | 7676 New Hampshire Ave Ste 418, Takoma Park, MD 20912-7516 | 2013-12-26 |
1942576772 | Jacqueline Yano Maher | Obstetrics & Gynecology | 10 Center Dr Rm 8n248 Msc1840 Nichd, Bethesda, MD 20892-4517 | 2012-03-27 |
1679741268 | Isaac E Sasson | Obstetrics & Gynecology | 15001 Shady Grove Rd Ste 340, Rockville, MD 20850-6357 | 2008-02-15 |
1891817920 | Sandy Junjun Li | Obstetrics & Gynecology | 9601 Blackwell Rd Ste 400, Rockville, MD 20850-3472 | 2007-04-06 |
1134261985 | Billy Catherino | Obstetrics & Gynecology | 4301 Jones Bridge Rd Bldg A Room 3078, Uniformed Services University of The Health Sciences, Bethesda, MD 20814-4712 | 2007-02-12 |
1891849832 | Shady Grove Fertility Reproductive Science Center | Obstetrics & Gynecology | 9601 Blackwell Road, Suite 400, Rockville, MD 20850-6478 | 2007-01-23 |
1477561579 | Endrika L Hinton | Obstetrics & Gynecology | 10749 Falls Rd, Ste 302, Lutherville, MD 21093-7031 | 2006-08-04 |
1568412088 | Lisa Marie Halvorson | Obstetrics & Gynecology | 703 New Mark Esplanade, Rockville, MD 20850-2739 | 2006-05-12 |
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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.