Charm City Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHARM CITY MEDICAL ASSOCIATES PA

Practice address

1777 Reisterstown Rd
Suite 222
Baltimore, MD 21208-1306

Phone

(410) 415-0933

Fax

(410) 415-0939

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Raphael Perez Mera, MD

Title

President

Phone

(410) 415-0933

Specialties & licenses 1

Addresses

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malika F. Waseem, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1376651273
  NPD
• Shanker Lal Gupta, MD

  • Surgery Physician
  • Dundalk, MD
  • NPI 1922177062
  NPD (past)
• Jason Richard Menges, D.C.

  • Chiropractor
  • Bel Air, MD
  • NPI 1760473516
  NPD (past)
• Scott Rudick, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1487954137
  NPD (past)
• Linda K McKinney, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1962426189
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710012463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-415-0933",
            "fax_number": "410-415-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-415-0933",
            "fax_number": "410-415-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ MERA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-415-0933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charm City Healing LLC
• Charm City Health
• Charm City Healthcare, L.L.C.
• Charm City Healthcare, L.L.C.
• Charm City House Calls
• Charm City Medical Center
• Charm City Medical Intensive Outpatient Program
• Charm City Natural Health
• Charm City Opioid Treatment
• Charm City Outpatient Treatment Level 1

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.