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ST. AGNES HEALTHCARE INC. NPI 1144250176


NPI Information

NPI: 1144250176
Provider Name: ST. AGNES HEALTHCARE, INC.

Doing Business As: INTEGRATED SPECIALISTS GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
900 CATON AVE
BALTIMORE, MD
ZIP 21229
Phone: (667) 234-2149
Get Directions

ST. AGNES HEALTHCARE, INC. is an internal medicine in Baltimore, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST. AGNES HEALTHCARE, INC. NPI is 1144250176. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integrated Specialists Group.

The provider's business location address is:

900 CATON AVE
BALTIMORE, MD
ZIP 21229-201
Phone: (667) 234-2149
Fax: (667) 234-8644

The provider's authorized official is Keith Vander Kolk .
The authorized official title is President/ceo and has the following contact phone number (667) 234-2101.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 2/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RX0202XInternal MedicineMedical OncologyNo
4207V00000XObstetrics & GynecologyNo
5207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
6208000000XPediatricsNo
72084N0400XPsychiatry & NeurologyNeurologyNo
8208600000XSurgeryNo
9208M00000XHospitalistNo
10207X00000XOrthopaedic SurgeryNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12207RC0000XInternal MedicineCardiovascular DiseaseNo
13207R00000XInternal MedicineYes
14363A00000XPhysician AssistantNo
15363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1216121400MEDICAIDMARYLAND
2K519MEDICARE PINMARYLAND
3W662OTHERMARYLANDCAREFIRST BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.