Regen Medical LLC
Clinic/Center (Multi-Specialty)

Address: 3916 Hickory Ave, Baltimore, MD 21211-1834
Phone: 4435525552

Regen Medical LLC (NPI# 1629615901) 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) 1629615901
Entity Type Organization
Organization Name REGEN MEDICAL LLC
Practice Address 3916 Hickory Ave
MD 21211-1834
Practice Telephone 4435525552
Practice Fax Number 4106629884
Mailing Address 3916 Hickory Ave
MD 21211-1834
Mailing Telephone 4435525552
Mailing Fax Number 4106629884
Authorized Official Name Michael A Dorn Jr. (OWNER)
Authorized Official Telephone 4435525552
Authorized Official Credential DC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-05
Last Update Date 2019-12-05

Taxonomy Codes

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

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

Street Address 3916 HICKORY AVE
State MD
Zip Code 21211-1834

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598308322 Bodywise Center Social Worker 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 2019-10-24
1194214981 Heather Carr Bergan Physical Therapy Assistant Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 2018-05-07
1427546100 Rebecca Meredith Student in an Organized Health Care Education/Training Program 843 Powers St, Baltimore, MD 21211 2018-04-27
1851896534 Dexter Kendrick Acupuncturist 2700 Reminton Ave, Baltimore, MD 21211 2018-03-26
1770092678 Bethany Grove Counselor 3433 Chestnut Ave, Baltimore, MD 21211 2017-09-22
1184140857 Walgreen Co Durable Medical Equipment & Medical Supplies 2700 Remington Ave Ste 500, Baltimore, MD 21211 2017-08-15
1528589116 Natalie C Hung Psychologist 623 W 34th St Ste 105, Baltimore, MD 21211 2017-07-05
1003359332 Hannah Elise Rose Counselor 711 W 40th Street, Suite 425, Baltimore, MD 21211 2016-11-17
1376091876 Penelope Kaikis Speech-Language Pathologist 3825 Greenspring Avenue, Baltimore, MD 21211 2016-09-14
1265862429 Alexandra Theo Samets Social Worker The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 2013-11-25
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Zip Code 21211

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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.

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