Provider Demographics
NPI:1689702227
Name:GREATER BALTIMORE MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:GREATER BALTIMORE MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRES AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MELCHIOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-849-2519
Mailing Address - Street 1:PO BOX 631568
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-1568
Mailing Address - Country:US
Mailing Address - Phone:443-204-8188
Mailing Address - Fax:443-204-8246
Practice Address - Street 1:6701 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:443-849-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Not Answered363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Not Answered363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Not Answered363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatalGroup - Multi-Specialty
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD705LMedicare ID - Type UnspecifiedGBMC ONCOLOGY
MD713LMedicare ID - Type UnspecifiedGBMC NEUROLOGY
MD714LMedicare ID - Type UnspecifiedGBMC OPHTHALMOLOGY
MD717LMedicare ID - Type UnspecifiedGBMC CARDIOLOGY
MD700LMedicare ID - Type UnspecifiedGBMC INC FAMILY CARE
MD703LMedicare ID - Type UnspecifiedGBMC COLON RECTAL
MD709LMedicare ID - Type UnspecifiedGBMC FERTILITY
MDK254Medicare ID - Type UnspecifiedGBMC HOOVER LOW VISION
MD710LMedicare ID - Type UnspecifiedGBMC INTERNAL MEDICINE
MD716LMedicare ID - Type UnspecifiedGBMC INFECTIOUS DISEASE
MD720LMedicare ID - Type UnspecifiedGBMC PEDIATRICS
MD725LMedicare ID - Type UnspecifiedGBMC INC GBMA CLINIC
MD676LMedicare ID - Type UnspecifiedGBMC OTOLARYNGOLOGY
MD701LMedicare ID - Type UnspecifiedGBMC VASCULAR SURGERY
MD704LMedicare ID - Type UnspecifiedGBMC SURGERY
MD711LMedicare ID - Type UnspecifiedGBMC HYPERBARIC
MD712LMedicare ID - Type UnspecifiedGBMC MIDLIFE CENTER
MD719LMedicare ID - Type UnspecifiedGBMC OBGYN