Earl D Kidwell Jr. (NPI# 1689757254, PAC ID# 2961466552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1689757254 |
| PAC ID by PECOS | 2961466552 |
| Professional Enrollment ID | I20041113000241 |
| Full Name | Earl D Kidwell Jr. |
| Address |
3104 Lord Baltimore Dr Suite 200 Baltimore MD 21244-5802 |
| Phone Number | 4102651501 |
| Gender | M |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090003 | HOWARD UNIVERSITY HOSPITAL |
| 210034 | MEDSTAR HARBOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3104 Lord Baltimore Dr, Suite 200, Baltimore, MD 21244-5802 | 4102651501 | |
| 2041 Georgia Nw Ave, Washington, DC 20060-0001 | 2028656679 | HOWARD UNIVERSITY |
| Street Address |
3104 LORD BALTIMORE DR SUITE 200 |
| City | BALTIMORE |
| State | MD |
| Zip | 21244-5802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas B Day | Dermatology | 7001 Johnnycake Rd, Suite 104, Windsor Mill, MD 21244-0756 | |
| Lytia Fisher | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Neelofar Wajahat | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Laura Emmanuel-allen | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Sindhu T James | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Niosha Razi | Diagnostic Radiology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Grace Cho Wessling | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Raymond Dormevil | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Stuart S Strauzer | Clinical Social Worker | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Jennifer Q Duan | Optometry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Find all physicians in zip 21244 | |||
| City | BALTIMORE |
| Zip Code | 21244 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BALTIMORE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Earl D Kidwell Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.