ST. AGNES HEALTHCARE INC. NPI 1629389630

NPI Information

NPI: 1629389630
Provider Name: ST. AGNES HEALTHCARE, INC.

Doing Business As: ST. AGNES PROFESSIONAL SERVICES

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
900 CATON AVE
BALTIMORE, MD
ZIP 21229
Phone: (667) 234-2126
Get Directions

ST. AGNES HEALTHCARE, INC. is a body imaging radiology in Baltimore, MD. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. ST. AGNES HEALTHCARE, INC. NPI is 1629389630. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Agnes Professional Services.

The provider's business location address is:

900 CATON AVE
BALTIMORE, MD
ZIP 21229-201
Phone: (667) 234-2126
Fax: (667) 234-2947

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 6/24/2010 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	No
3	2086S0129X	Surgery	Vascular Surgery	No
4	2085B0100X	Radiology	Body Imaging	Yes

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

NPI Synchronization or Removal

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