GBMC Health Partners at Helping Up Mission, LLC
Organization Active NPI General Practice Physician · Baltimore, MD
NPI 1003389115 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1003389115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- GBMC HEALTH PARTNERS AT HELPING UP MISSION, LLC
- Practice address
- 1017 E Baltimore St
Ground Floor
Baltimore, MD 21202-4705 - Phone
- (410) 826-0170
- NPI assigned
- Jan 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Laurie R Beyer
- Title
- Evp & Cfo
- Phone
- (443) 849-2519
Practitioners 7
-
James Baronas, MD
-
Robin Julianne Poedel, PHD, RN, FNP-BC
-
John R Saunders Jr., M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2164353 | GBMC Health Partners at Jonestown | Provider-performed microscopy | Apr 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190617000719 | MD | Part B Supplier - Clinic/Group Practice | 1850624347 |
Receives reassigned benefits from 5 practitioners Practice locations: Baltimore, MD |
National Provider Directory
Locations
9 Schilling Rd
Ste 102
Hunt Valley, MD 21031
Phone (410) 771-3220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
1017 E Baltimore St
Ground Floor
Baltimore, MD 21202-4705
Mailing address
6701 N. Charles Street
S. Chapman Building, Suite 102
Baltimore, MD 21204
Phone (443) 849-2000
Other names
- GBMC Health Partners at Jonestown
Other providers in Baltimore, MD
- Charzetta W Gaylord
- Nathalie Gbaba
- Rashidat Gbadegesin
- Kayode Richard Gbeleye
- GBMC Emergency Care Inpatient Pediatricians
- GBMC Hospital Based Services, LLC
- GBMC Hospital Based Services, LLC
- GBMC Hospital Based Services, LLC.
- GBMC Hospital Based Services, LLC.
- GC Project Management
All providers in Baltimore, MD · General Practice Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.