NPIMap

Organization Active NPI

Dr Wendy Kloesz, M.D., P.a

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1144472887
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D31295 Issued in MD
Legal business name
DR WENDY KLOESZ, M.D., P.A
Practice address
5701 Kenwood Ave
Baltimore, MD 21206-1423
Phone
(443) 797-3152
Fax
(410) 665-1106
NPI assigned
Oct 14, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wendy Dorothy Kloesz, MD
Title
Owner
Phone
(443) 797-3152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D31295 MD Primary

Addresses

Primary practice location

5701 Kenwood Ave
Baltimore, MD 21206-1423

Mailing address

5701 Kenwood Ave
Baltimore, MD 21206-1423
Phone (443) 797-3152

National Provider Directory

National Provider Directory
Tax ID family
Lifebridge Community Gastroenterology LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3982 Norrisville Rd
Jarrettsville, MD 21084
Phone (410) 557-9640

11130 Philadelphia Rd
White Marsh, MD 21162
Phone (410) 344-0020

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1144472887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 KENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061423",
            "telephone_number": "443-797-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 KENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061423",
            "telephone_number": "443-797-3152",
            "fax_number": "410-665-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WENDY KLOESZ, M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "KLOESZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-797-3152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D31295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.