DR. MARK D BAGANZ (NPI# 1982768966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982768966 |
| Entity Type | Individual |
| Full Name | DR. MARK D BAGANZ |
| Credential | M.D. |
| Practice Address |
122 Defense Hwy Chesapeake Medical Imaging Annapolis MD 21401-7069 |
| Practice Telephone | 4105710350 |
| Mailing Telephone | 4105710350 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D44496 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 065421301 | 05 | |
| DC | GHI | F8550011 | 01 |
| MD | BLUE SHIELD | 61070201 | 01 |
| Street Address |
122 DEFENSE HWY CHESAPEAKE MEDICAL IMAGING |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706251 | Thomas B. Lank | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2005-11-04 |
| 1639465883 | Karl John Maki | Psychiatry & Neurology | 122 Defense Hwy, Suite 210, Annapolis, MD 21401-7069 | 2011-06-27 |
| 1396076642 | Chesapeake Open Mri LLC | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2010-01-27 |
| 1437320454 | Chesapeake Open Mri | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2008-03-18 |
| 1215119862 | Erica Lynn Prentice | Speech-Language Pathologist | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2007-12-05 |
| 1336328079 | Maria E Romero | Family Medicine | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2007-10-30 |
| 1861686420 | Daniel Hexter Md Pa | Psychiatry & Neurology | 122 Defense Hwy, 210, Annapolis, MD 21401-7069 | 2007-08-28 |
| 1932314507 | Ketan Nalin Naran | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2007-05-14 |
| 1568677581 | Mary Pat Fasick | Occupational Therapist | 122 Defense Hwy, 224, Annapolis, MD 21401-7069 | 2007-05-12 |
| 1831226299 | Molly D Price | Psychiatry & Neurology | 122 Defense Hwy, Suite 210, Annapolis, MD 21401-7069 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706251 | Thomas B. Lank | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2005-11-04 |
| 1477078053 | Fmca Pa | Radiology | 2562 Hidden Cove Rd, Annapolis, MD 21401-6815 | 2017-08-04 |
| 1164961744 | Chesapeake Open Mri LLC | Radiology | 600 Ridgely Ave, Suite 100, Annapolis, MD 21401-1001 | 2017-02-16 |
| 1598027633 | Jasleen Chopra | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2012-06-14 |
| 1396076642 | Chesapeake Open Mri LLC | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2010-01-27 |
| 1598927063 | Marit Connor Duffy | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2008-06-26 |
| 1194998484 | Chesapeake Medical Imaging | Radiology | 108 Forbes St, Annapolis, MD 21401-1502 | 2008-04-08 |
| 1437320454 | Chesapeake Open Mri | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2008-03-18 |
| 1578768024 | Christopher Patrick Myers | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2007-06-15 |
| 1932314507 | Ketan Nalin Naran | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2007-05-14 |
| Find all providers in ANNAPOLIS | ||||
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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.