Bodyworks Medical
Clinic/Center (Multi-Specialty)

Address: St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229
Phone: 2404478036

Bodyworks Medical (NPI# 1265068373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265068373
Entity Type Organization
Practice Address St. Agnes Medical Center
3455 Wilkens Ave Suite 100
MD 21229
Practice Telephone 2404478036
Mailing Address 13013 Davenport Dr
MD 20613-5683
Mailing Telephone 2022707542
Mailing Fax Number 2402132335
Authorized Official Name Dr. Phillip Sherman Ragland (PRESIDENT)
Authorized Official Telephone 2404483279
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-03-20
Last Update Date 2020-03-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM1300X Clinic/Center · Multi-Specialty Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
MD 968419100 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1861963167 Bodyworks Medical Surgery 12805 Old Fort Rd Ste 301, Fort Washington, MD 20744-2814 2018-12-11

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Office Location

State MD
Zip Code 21229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750932430 Amanda Felix Nurse Practitioner 5411 Old Frederick Road, Catonsville, MD 21229 2019-09-24
1497317853 Wakeelat A Adeoye Nurse Practitioner 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 2019-07-05
1477051779 Shahin Vohara Dentist Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 2018-02-01
1386179299 Sharon Mccollough Counselor 3219 Phelps Lane, First Floor, Baltimore, MD 21229 2017-04-28
1184175697 Yekeen Odewale Registered Nurse 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 2016-10-19
1942608070 Charity Ashe Social Worker 4024 Colborne Rd, Baltimore, MD 21229 2014-12-05
1376947127 Sumanya Venkat Rao Dentist 4510 Edmondson Ave, Baltimore, MD 21229 2014-10-21
1497091573 Anita Phillips Social Worker 5110 Frederick Avenue, Baltimore, MD 21229 2012-12-18
1104179704 Shaunte Monet Hairston Technician, Pathology 1130 Cooks Ln, Baltimore, MD 21229 2012-10-19
1467703470 Win Team, LLC Community/Behavioral Health 4640 Edmondson Avenue, Suite 201, Baltimore, MD 21229 2012-10-01
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Zip Code 21229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.