Active NPI
Manfred Tambe
- Basic Emergency Medical Technician
- Baltimore, MD
National Provider Identifier
1346660123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 0202262
- Practice address
- 1335 Linden Ave
Baltimore, MD 21227-2407 - Phone
- (443) 919-7778
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 0202262 | MD | Primary |
| Registered Nurse | 163W00000X | R154738 | MD |
Addresses
Primary practice location
1335 Linden Ave
Baltimore, MD 21227-2407
Mailing address
1335 Linden Ave
Baltimore, MD 21227-2407
Phone (443) 919-7778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202262 | MD | MD | Basic Emergency Medical Technician |
| R154738 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1346660123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 LINDEN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212272407",
"telephone_number": "443-919-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 LINDEN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212272407",
"telephone_number": "443-919-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMBE",
"first_name": "MANFRED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MD",
"license": "0202262",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R154738",
"primary": false
}
],
"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 Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.