University of Maryland Oncology Associates, PA
Organization Active NPI Hematology & Oncology Physician · Baltimore, MD
NPI 1679523575 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1679523575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- UNIVERSITY OF MARYLAND ONCOLOGY ASSOCIATES, PA
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-8040
- Fax
- (410) 328-2578
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicholas M Jaidar
- Title
- Director Ofoncology Operations
- Phone
- (410) 328-2632
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 1
Practitioners 115
-
Mohamed Amir Alghali, CRNP
-
Mary Anderson, CRNP
-
Djordje Atanackovic, M.D.
-
Ashraf Zarif Badros, M.D.
-
Maria Baer, MD
-
Kelly Blosser, CRNP
-
Christina Boord, CRNP
-
Thanh Que Cao, NURSE PRACTITIONER
-
Octavia Renee Clopton, CRNP
-
Kevin Joseph Cullen, M.D.
-
Mandy Sian David, P.A.-C.
-
Rachel Donahue, CRNP
-
Vu H Duong, MD
-
Ariel Fromowitz, MD
-
Timothy James Hall, CRNP
-
Sarah Patricia Hemstetter, MSN, CRNP
-
Susan Ann Hodges, CRNP
-
Arif Hussain, M.D.
-
Devon Isaac, CRNP
-
Jennifer A Jaress, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031210000323 | MD | Part B Supplier - Clinic/Group Practice | 0446156483 |
Receives reassigned benefits from 105 practitioners 6 other NPIs on this enrollment Practice locations: Baltimore, MD; Bel Air, MD; Towson, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician |
207RH0000X | |||
| Hematology & Oncology Physician |
207RH0003X | Yes | ||
| Medical Oncology Physician |
207RX0202X |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 62602
Baltimore, MD 21264-2602
Phone (410) 328-8040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087720400 | Medicaid | MD | |
| 043870700 | Medicaid | DC | |
| 5321205 | Other | MD | AETNA |
| 4005765 | Other | TN | BLUE CROSS/BLUE SHIELD |
Other providers in Baltimore, MD
- University of Maryland Neurosurgery Associates P a
- University of Maryland Neurosurgery Associates P a
- University of Maryland Neurosurgery Associates P a
- University of Maryland Oncology Associates, PA
- University of Maryland Oncology Associates, PA
- University of Maryland Oncology Associates, PA
- University of Maryland Oncology Associates, PA
- University of Maryland Oncology Associates, PA
- University of Maryland Oral Maxillofacial Surgery Assoc PA
- University of Maryland Orthopaedic Associates P a
All providers in Baltimore, MD · Hematology & Oncology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. 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.