CLOSEKNIT
NPI 1548839012
Family Medicine in Baltimore, MD

NPI Status: Active since June 21, 2021

Contact Information

1501 S CLINTON ST
BALTIMORE, MD
ZIP 21224
Phone: (410) 528-7109

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  • Organization
  • Family Medicine

About CLOSEKNIT

This page provides the complete NPI Profile along with additional information for Closeknit, a primary care provider established in Baltimore, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1548839012 assigned on June 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Closeknit operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Closeknit. The authorized official of this NPI record is Mary Jane Favazza (Ceo)

NPI
1548839012
Provider Legal Name
ATLAS HEALTH, LLC
Other Organization Name
CLOSEKNIT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1501 S CLINTON ST BALTIMORE, MD 21224
Location Phone
(410) 528-7109
Mailing Address
1501 S CLINTON ST BALTIMORE, MD 21224
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2021
Last Update Date
08-08-2024
Code Navigator

A primary care provider (PCP) like Closeknit sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2171M00000XOther Service Providers

Case Manager/Care Coordinator

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARY JANE FAVAZZA

Authorized Official Title
CEO
Authorized Official Phone
(410) 528-7109

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
TBDOTHER (01)TBD

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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.
1548839012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881631802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 6 + 3 + 1 + 8 + 0 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1548839012 is valid because the calculated check digit 2 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
1669560942DR. ROBERT L CONNORS MD
Individual
Internal Medicine1501 S CLINTON ST SUITE 200
BALTIMORE, MD 21224
(410) 522-9940
1245390590 KATHRYN ROSE RICHARDSON OMRON MD
Individual
Pediatrics1501 S CLINTON ST SUITE 200
BALTIMORE, MD 21224
(410) 522-9940
1255761201CFA, LLC
Organization
Health Maintenance Organization1501 S CLINTON ST 7TH FLOOR
BALTIMORE, MD 21224
(410) 528-2222
1477847846 JANE MEEYOUNG LEE SHEN M.D.
Individual
Internal Medicine1501 S CLINTON ST SUITE 200
BALTIMORE, MD 21224
(410) 522-9940
1174061774 PATTI EDWARDS
Individual
Registered Nurse1501 S CLINTON ST
BALTIMORE, MD 21224
(410) 215-7962
1063947711 ASHLEY BORDEN
Individual
Registered Nurse1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 725-2665
1285153460MR. WALTER SHAW
Individual
Case Manager/Care Coordinator1501 S CLINTON ST
BALTIMORE, MD 21224
(410) 581-3000
1154301430 NICKOL D. BARNES LCPC
Individual
Counselor (Professional)1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 800-2101
1952645210 JULIE FADEN-SHIFRIN MSW
Individual
Social Worker (Clinical)1501 S CLINTON ST
BALTIMORE, MD 21224
(410) 953-1848
1104227172 GLYNDA WALKER MSW LCSW-C
Individual
Social Worker1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 904-1818
1477928554 DARRELL VAUGHN BROWN LCSW-C
Individual
Social Worker (Clinical)1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 823-9320
1922507755 GLORIA BOND
Individual
Case Manager/Care Coordinator1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 257-7041
1104020874MS. ANNETTE RICKERT CALLAHAN LSCWC
Individual
Social Worker (Clinical)1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 805-5598
1144527151MS. CHERYL ANN SHIRK RN, MSN
Individual
Registered Nurse1501 S CLINTON ST
BALTIMORE, MD 21224
(410) 528-5755
1730496399 CHARISSE WEISS LCPC
Individual
Counselor1501 S CLINTON ST
BALTIMORE, MD 21224
(410) 904-1867
1538699905 CAROLYN ROSS RN
Individual
Case Manager/Care Coordinator1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 618-3769
1053863977 TEAIRA LEWIS LCPC, LPC
Individual
Counselor (Professional)1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 805-0515
1083139752 MEGAN MILLS LCPC
Individual
Counselor1501 S CLINTON ST
BALTIMORE, MD 21224
(410) 953-1856
1528560596 ESTHER O ORIMOGUNJE
Individual
Case Manager/Care Coordinator1501 S CLINTON ST
BALTIMORE, MD 21224
(202) 731-0591
1487150967MS. WHITNEY TUCKER
Individual
Case Manager/Care Coordinator1501 S CLINTON ST
BALTIMORE, MD 21224
(443) 401-3550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548839012, enumerated in the NPI registry as an "organization" on June 21, 2021

The provider is located at 1501 S Clinton St Baltimore, Md 21224 and the phone number is (410) 528-7109

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 21, 2021. 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.