SHOCK TRAUMA ASSOCIATES, P.A.
NPI 1255183000
Prevention Professional in Baltimore, MD

NPI Status: Active since April 04, 2024

Contact Information

22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-8667
Fax: (443) 462-3129

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  • Organization
  • Prevention Professional

About SHOCK TRAUMA ASSOCIATES, P.A.

This page provides the complete NPI Profile along with additional information for Shock Trauma Associates, P.a., a provider established in Baltimore, Maryland operating as a Prevention Professional. The healthcare provider is registered in the NPI registry with number 1255183000 assigned on April 2024. The practitioner's primary taxonomy code is 405300000X. The provider is registered as an organization and their NPI record was last updated one year ago. Shock Trauma Associates, P.a. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stacy L Anderson (Reimbursement Manager)

NPI
1255183000
Provider Name
SHOCK TRAUMA ASSOCIATES, P.A.
Entity Type
Organization
Location Address
22 S GREENE ST BALTIMORE, MD 21201
Location Phone
(410) 328-8667
Location Fax
(443) 462-3129
Mailing Address
PO BOX 64793 BALTIMORE, MD 21264
Mailing Phone
(410) 328-7007
Mailing Fax
(443) 462-3129
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2024
Last Update Date
04-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACY L ANDERSON

Authorized Official Title
REIMBURSEMENT MANAGER
Authorized Official Phone
(410) 328-7007

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255183000
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210528600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 2 + 8 + 6 + 0 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255183000 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750383063MS. MALINDA DANIEL DUKE CPNP, CDE
Individual
Nurse Practitioner (Pediatrics)22 S GREENE ST RM N6W84
BALTIMORE, MD 21201
(410) 328-3410
1700881802DR. MARIA BAER MD
Individual
Internal Medicine (Hematology & Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8708
1982604773 MICHELLE DUELL CRNA
Individual
Specialist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1003817131DR. LISA MANUELA MARTINEZ M.D.
Individual
Internal Medicine22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-9595
1164416400DR. KIRSTEN ELLIZABETH LYKE M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1942296124DR. MARCIA A MCAVOY M.D.
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST DEPT. OF RADIOLOGY
BALTIMORE, MD 21201
(410) 328-3477
1649266610DR. GEORGE W GROSS MD
Individual
Radiology (Diagnostic Radiology)22 S GREENE ST ROOM N2E23
BALTIMORE, MD 21201
(410) 328-5656
1568459733MRS. DARBI NICHOLE ROBINSON CRNP
Individual
Nurse Practitioner22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE, MD 21201
(410) 328-6717
1376534222DR. PETR FRANTISEK HAUSNER MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1427039940 ROGER DAVID BAXTER CRNA
Individual
Nurse Anesthetist, Certified Registered22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1497730592 MAYURIKA GHOSH MD
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2463
1790763993DR. THOMAS M SCALEA M.D.
Individual
Surgery (Trauma Surgery)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6566
1649250622DR. KENT EDWARD KESTER M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-6704
1740259274DR. MANGLA S GULATI M.D.
Individual
Hospitalist22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1720047129 HEATHER D MANNUEL MD
Individual
Internal Medicine (Medical Oncology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-2567
1619937539DR. RAJABRATA SARKAR M.D., PH.D.
Individual
Surgery (Vascular Surgery)22 S GREENE ST S10B00
BALTIMORE, MD 21201
(410) 328-5840
1003877093DR. CAROL OVERTON TACKET M.D.
Individual
Internal Medicine (Infectious Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-5793
1215998281DR. PAMELA JAYNE AMELUNG M.D.
Individual
Internal Medicine (Pulmonary Disease)22 S GREENE ST
BALTIMORE, MD 21201
(410) 705-5762
1649231481 PETER EDWIN DARWIN MD
Individual
Internal Medicine (Gastroenterology)22 S GREENE ST
BALTIMORE, MD 21201
(410) 328-8729
1548221062DR. DOUGLAS D MAYO M.D.
Individual
Emergency Medicine (Emergency Medical Services)22 S GREENE ST
BALTIMORE, MD 21201
(410) 362-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255183000, enumerated in the NPI registry as an "organization" on April 04, 2024

The provider is located at 22 S Greene St Baltimore, Md 21201 and the phone number is (410) 328-8667

This medical organization specializes in Prevention Professional with taxonomy code 405300000X

This NPI record was last updated on April 04, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.