GAUDENZIA AT PARK HEIGHTS
NPI 1366656175
Clinic/Center in Baltimore, MD

Q: What is Gaudenzia Inc's NPI number?

The NPI number for Gaudenzia Inc is 1366656175. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is also known as Gaudenzia At Park Heights.

Q: What is Gaudenzia Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gaudenzia Inc was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2007

4615 PARK HEIGHTS AVE, BALTIMORE, MD 21215(443) 423-1500(443) 423-1495 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gaudenzia At Park Heights NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAUDENZIA AT PARK HEIGHTS (NPI 1366656175) is a healthcare organization registered as a clinic/center in Baltimore, Maryland and active in the NPI registry since May 2007. The organization lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1366656175

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameGAUDENZIA INC

Location Address4615 PARK HEIGHTS AVEBaltimore, MD 21215-6331

Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025

Phone(443) 423-1500

Fax(443) 423-1495

Organization SubpartNo

Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731

Enumeration DateMay 10, 2007

Last NPPES UpdateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1366656175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MD · 10478

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 12536 (MD)

4615 PARK HEIGHTS AVE, Baltimore, MD 21215

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Other Names 1

Other NameGaudenzia At Park Heights

Other Identifiers 1

Medicaid4171233 00MD

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUSEYI IGE OGUNDANA CRNP

Nurse Practitioner (Family)