St. Agnes Hospital

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

P30339 Issued in MD

Legal business name

ST. AGNES HOSPITAL

Practice address

900 Caton Ave
Department of Surgery
Baltimore, MD 21229-5201

Phone

(410) 368-2718

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rosewell Valentino Mackey, M.D

Title

General Surgery Resident

Phone

(410) 368-2718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1497154470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AGNES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "ROSEWELL",
        "authorized_official_middle_name": "VALENTINO",
        "authorized_official_title_or_position": "GENERAL SURGERY RESIDENT",
        "authorized_official_telephone_number": "410-368-2718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "P30339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Agnes Healthcare, Inc.
• St. Agnes Healthcare, Inc.
• St. Agnes Home Care
• St. Agnes Hospice
• St. Agnes Hospice Physician SVC
• St. Agnes Hospital
• St. Elizabeth Opco LLC
• St. Frances Academy School Based Health Center
• St. Francis Neighborhood Corp.
• Kelsie St. Hill, RN

• Student in an Organized Health Care Education/Training Program in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Student in an Organized Health Care Education/Training Program in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.