SUSAN DEMETRIDES CPNP
NPI 1356498786
Nurse Practitioner - Pediatrics in Baltimore, MD

NPI Status: Active since January 05, 2007

Contact Information

707 N BROADWAY
BALTIMORE, MD
ZIP 21205
Phone: (443) 923-9200
Fax: (443) 923-9405

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About SUSAN DEMETRIDES

This page provides the complete NPI Profile along with additional information for Susan Demetrides, a provider established in Baltimore, Maryland with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1356498786 assigned on January 2007. The practitioner's primary taxonomy code is 363LP0200X with license number R065937 (MD). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1356498786
Provider Name
SUSAN DEMETRIDES CPNP
Gender
Female
Entity Type
Individual
Location Address
707 N BROADWAY BALTIMORE, MD 21205
Location Phone
(443) 923-9200
Location Fax
(443) 923-9405
Mailing Address
2931 E BIDDLE ST BALTIMORE, MD 21213
Mailing Phone
(443) 923-1886
Mailing Fax
(443) 923-9405
Is Sole Proprietor?
No
Enumeration Date
01-05-2007
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Susan Demetrides is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R065937
License State
MD

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.

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
R75761MEDICARE UPIN (02) 
K631E609MEDICARE ID-TYPE UNSPECIFIED (04)MD 
61114301OTHER (01)MDCARE FIRST BC BS

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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.
1356498786
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231068916716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 8 + 9 + 1 + 6 + 7 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1356498786 is valid because the calculated check digit 6 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.

TERI J HOLBROOK CPNP

Nurse Practitioner

(Pediatrics)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

GARY W GOLDSTEIN MD

Psychiatry & Neurology

(Neurology)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

MARIFLOR S JAMORA MD

Psychiatry & Neurology

(Psychiatry)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

WALTER E KAUFMANN MD

Psychiatry & Neurology

(Neurodevelopmental Disabilities)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

VARSHA MORAR MD

Psychiatry & Neurology

(Psychiatry)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

DEJAN B BUDIMIROVIC MD

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

707 N BROADWAY
KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD
ZIP 21205

(443) 923-9400

GEORGE T CAPONE MD

Pediatrics

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

CHRISTIANE SYLVIA COX PH.D.

Psychologist

707 N BROADWAY
SUITE 232
BALTIMORE, MD
ZIP 21205

(443) 923-9257

JULIE I LIU MD

Pediatrics

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

KATHY S FINNEY CRNP

Nurse Practitioner

(Pediatrics)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

AVORANEE B PINIT MD

Pediatrics

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

DANIELLE CATALDO CPNP

Nurse Practitioner

(Pediatrics)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

RITA M ATWELL CPNP

Nurse Practitioner

(Pediatrics)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

CHARLENE T DAVIS CPNP

Nurse Practitioner

(Pediatrics)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

MARY L LEPPERT MD

Pediatrics

(Neurodevelopmental Disabilities)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

MARTHA B DENCKLA MD

Psychiatry & Neurology

(Neurology)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-9200

DR. HILARY EILEEN GWYNN M.D.

Pediatrics

(Neurodevelopmental Disabilities)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-3240

DR. JOSHUA BENJAMIN EWEN M.D.

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

707 N BROADWAY
KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD
ZIP 21205

(443) 923-9150

DR. STACY JENNIFER SUSKAUER M.D.

Physical Medicine & Rehabilitation

(Pediatric Rehabilitation Medicine)

707 N BROADWAY
KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD
ZIP 21205

(443) 923-9440

STEVE E LINDAUER PHD

Psychologist

(Clinical Child & Adolescent)

707 N BROADWAY
BALTIMORE, MD
ZIP 21205

(443) 923-1886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356498786, enumerated as an "individual" on January 05, 2007.

The provider is located at 707 N BROADWAY BALTIMORE, MD 21205 and the phone number is (443) 923-9200.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.