Greater Baltimore Medical Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREATER BALTIMORE MEDICAL CENTER, INC.

Doing business as

GBMC, Inc.-Infectious Disease

Practice address

10085 Red Run Blvd
Ste 306
Owings Mills, MD 21117-4836

Phone

(410) 581-7804

NPI assigned

Nov 16, 2006

Organization subpart

Yes

Parent organization

GREATER BALTIMORE MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Laurie Beyer

Title

Executive Vice Pres & Cfo

Phone

(443) 849-2519

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• GBMC, Inc.-Infectious Disease Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Part of

GB Head and Neck Assoc

Practitioners 3

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

• Natalie Blagowidow, M.D.

  • Clinical Genetics (M.D.) Physician
  • Baltimore, MD
  • NPI 1407894330
  NPD
• Shama Jari, M.D.

  • Clinical Genetics (M.D.) Physician
  • Baltimore, MD
  • NPI 1255388401
  NPD
• Antonie D Kline, M.D.

  • Clinical Cytogenetics Physician
  • Baltimore, MD
  • NPI 1154347425
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1942373964",
    "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": "10085 RED RUN BLVD",
            "address_2": "STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174836",
            "telephone_number": "410-581-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRES & CFO",
        "authorized_official_telephone_number": "443-849-2519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "KJ68ME",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL",
            "identifier": "S121",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512501402",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBMC, Inc.-Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GBMC, Inc.-Infectious Disease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater Baltimore Medical Center, Inc
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.
• Marsha Greaves
• Mark R. Grebosky, DMD
• Laura Green
• Sherise Green
• Damien Greene

• Internal Medicine Physician in Owings Mills, MD
• Providers in Owings Mills, 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 Jun 5, 2023; 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.

Verify at the official NPI Registry.