Shock Trauma Associates, P.a.
Organization Active NPI Emergency Care Clinic/Center · Baltimore, MD
NPI 1679512909 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1679512909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- SHOCK TRAUMA ASSOCIATES, P.A.
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-6704
- Fax
- (410) 328-4124
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Kimberly Collic
- Title
- Director of Professional Fees
- Phone
- (667) 214-1334
Practitioners 563
-
Bizhan Aarabi, MD
-
Eftikhar Akam, DO
-
Jessica Ashley Alper, CRNP
-
Katie Brooke Andersen, CRNP
-
Carla Aresco, CRNP
-
Neeraj Badjatia, M.D.
-
Bonjo M. Batoon, CRNA
-
Amy Kramer Borth, ACNP
-
Sharon A Boswell, CRNP
-
Jeanne Boyer, CRNP
-
George Bragdon, CRNA, DNP
-
Jason Clifford Brookman, M.D.
-
Michael Paul Broussard, CRNA
-
Anna Elizabeth Brown, AG-ACNP
-
Mary K. Browning, CRNA
-
Susan Brundage, MD
-
Cynthia Jeanne Bucci, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421000976 | MD | Part B Supplier - Clinic/Group Practice | 6800882317 |
Receives reassigned benefits from 490 practitioners Practice locations: Baltimore, MD |
| O20161019001188 | DC | Part B Supplier - Clinic/Group Practice | 6800882317 |
Receives reassigned benefits from 34 practitioners Practice locations: Cheverly, MD |
National Provider Directory
Locations
110 S Paca St
#38
Baltimore, MD 21201
22 S Greene St
Fl 3
Baltimore, MD 21201
Phone (410) 328-6280
11 S Paca St
Ste 500
Baltimore, MD 21201
Phone (410) 328-3000
22 S Greene St
Ste 239
Baltimore, MD 21201
10910 Little Patuxent Pkwy
Ste 1
Columbia, MD 21044
901 Harry S Truman Dr N
Fl 2
Largo, MD 20774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64793
Baltimore, MD 21264-4793
Phone (410) 328-6704
Other names
- Shock Trauma Associates
Other providers in Baltimore, MD
- Wesley Michael Shoap
- Ashley Brianna Shober
- Robert Shochet
- Shock Trauma Associates, P.a.
- Shock Trauma Associates, P.a.
- Mikayla Shockley
- Shoe Studio, LLC
- Nancy Christine Shoemaker
- Shmuel Shoham
- Angela Diane Shoher
All providers in Baltimore, MD · Emergency Care Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.