SAUNDRA GORALSKI


Address: 2801 Foster Ave, Baltimore, MD 21224-3862
Phone: 4103420333

SAUNDRA GORALSKI (NPI# 1982649851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982649851
Entity Type Individual
Full Name SAUNDRA GORALSKI
Other Name SAUNDRA JAWANOWITCH
Credential CRNP
Practice Address 2801 Foster Ave
Baltimore
MD 21224-3862
Practice Telephone 4103420333
Mailing Telephone 4103420333
Enumeration Date 2006-06-17
Last Update Date 2014-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
R104154 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC BCBS BLUECHOICE 0024 01
MD BCBS (MD) 687066-02 01
MD 663105300 05

Office Location

Street Address 2801 FOSTER AVE
City BALTIMORE
State MD
Zip Code 21224-3862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982646378 Vincenzo Grippo Internal Medicine 2801 Foster Ave, Suite A, Baltimore, MD 21224-3816 2006-06-12
1770064347 Anne Fulton Pharmacist 2801 Foster Ave, Baltimore, MD 21224-3862 2018-08-22
1043734742 Walgreen Co Durable Medical Equipment & Medical Supplies 2801 Foster Ave, Baltimore, MD 21224-3862 2017-08-03
1275935488 Carmela Nicole Groves Pharmacist 2801 Foster Ave, Baltimore, MD 21224-3862 2014-09-18
1356777577 Michelle Lynn Bert Pharmacist 2801 Foster Ave, Baltimore, MD 21224-3862 2013-09-19
1700176468 Roderick Keith Curtis Pharmacist 2801 Foster Ave, Baltimore, MD 21224-3816 2011-04-14
1841505112 Carl Isenberg Pharmacist 2801 Foster Ave, Baltimore, MD 21224-3816 2010-08-11

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21224

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Dataset Information

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.

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