Baltimore Washington Durable Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BALTIMORE WASHINGTON DURABLE MEDICAL EQUIPMENT, LLC

Practice address

255 Hospital Dr Ste 207
Glen Burnie, MD 21061-5801

Phone

(410) 553-8170

Fax

(410) 553-8171

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Paesch

Title

Vice President, Strategy and Busine

Phone

(410) 787-4879

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baltimore Washington Professional Services Inc.

  • Surgery Physician
  • Glen Burnie, MD
  • NPI 1821277856

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1306312467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HOSPITAL DR STE 207",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615801",
            "telephone_number": "410-553-8170",
            "fax_number": "410-553-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE WASHINGTON DURABLE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "PAESCH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "VICE PRESIDENT, STRATEGY AND BUSINE",
        "authorized_official_telephone_number": "410-787-4879"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Wayne Baker, P.D.
• Tennille Lisette Ball
• Esperanza Ballenilla, LCSW-C
• Oluwakemi F Balogun
• Baltimore Vamc
• Baltimore Washington Emergency Physicians, Inc.
• Baltimore Washington Medical Center
• Baltimore Washington Medical Center Inc.
• Baltimore Washington Medical Center Inc.
• Baltimore Washington Medical Center Inc.

• All providers in Glen Burnie, MD
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.