Greater Baltimore Medical Center, Inc.

Organization Active NPI Registered Dietitian · Baltimore, MD

NPI 1194963496 · NPPES record last updated Jun 5, 2023

Key facts

NPI
1194963496
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
Legal business name
GREATER BALTIMORE MEDICAL CENTER, INC.
Practice address
6535 N Charles St
Ste 125
Baltimore, MD 21204-5826
Phone
(443) 849-3779
NPI assigned
Jan 26, 2009
Organization subpart
Yes
Parent organization (as reported)
GREATER BALTIMORE MEDICAL CENTER, INC.

Authorized official

Name
Laurie Beyer
Title
Exec VP and Cfo
Phone
(443) 849-2519

Corporate family (same tax ID) 23

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040217000852 MD Part B Supplier - Clinic/Group Practice 1759276975 Receives reassigned benefits from 513 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
GB Head and Neck Assoc (80 organizations share this tax ID)
Part of
GB Head and Neck Assoc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP
133V00000X Yes

Addresses

Primary practice location

6535 N Charles St
Ste 125
Baltimore, MD 21204-5826

Mailing address

PO Box 631568
Baltimore, MD 21263-1568

Other names

  • GBMC, Inc./Dietitians Doing business as

Other providers in Baltimore, MD

All providers in Baltimore, MD · Registered Dietitian in Maryland

Sources for this page

Verify at the official NPI Registry.