Active NPI
Greater Baltimore Medical Center, Inc.
Doing business as GBMC, Inc.-Fertility
- Reproductive Endocrinology Physician
- Baltimore, MD
National Provider Identifier
1457370439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- Legal business name
- GREATER BALTIMORE MEDICAL CENTER, INC.
- Doing business as
- GBMC, Inc.-Fertility
- Practice address
- 6701 N Charles St
Baltimore, MD 21204-6808 - Phone
- (443) 849-2000
- NPI assigned
- Jul 19, 2006
- Last updated
- Mar 27, 2008
- Organization subpart
- Yes
- Parent organization
- GREATER BALTIMORE MEDICAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Melchior
- Title
- Vice Pres & Cfo
- Phone
- (443) 849-2519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | Primary |
Addresses
Primary practice location
6701 N Charles St
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KJ22GB | Other | MD | CAREFIRST MARYLAND |
| S123 | Other | MD | CAREFIRST REGIONAL |
Other names 1
- GBMC, Inc.-Fertility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory- Part of
- GBMC Inc Cardiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1457370439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
"enumeration_date": "2006-07-19",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "MELCHIOR",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "VICE PRES & CFO",
"authorized_official_telephone_number": "443-849-2519",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "KJ22GB",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S123",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GBMC, Inc.-Fertility",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Baltimore, MD
- Greater Baltimore Medical Center, Inc.
- Greater Baltimore Medical Center, Inc. (GBMC Specialty Pharmacy)
- Greater Baltimore Medical Center, Inc.
- Greater Baltimore Medical Center, Inc. (Pediatrics/Nicu GBMC)
- Greater Baltimore Medical Center, Inc. (GBMC Pulmonary & Sleep Medicine)
- Greater Baltimore Medical Center, Inc. (GBMC, Inc.-Ophthalmology)
- Greater Baltimore Medical Center, Inc. (GBMC Ppe)
- Greater Baltimore Medical Center, Inc. (GBMC Health Partners Neurosurgical and Pain Mgmt)
- Greater Baltimore Medical Center, Inc. (Vein Center at GBMC)
- Greater Baltimore Medical Center, Inc. (GBMC Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.