DENOTTA SHAVONN TEAGLE PA-C
NPI 1902807100
Physician Assistant in Baltimore, MD

Active since August 10, 2005
1501 DIVISION ST, BALTIMORE, MD 21217(410) 728-4176(410) 728-4412 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Denotta Shavonn Teagle Pa-c NPPES

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

DENOTTA SHAVONN TEAGLE PA-C (NPI 1902807100) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0001369) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1902807100
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDENOTTA SHAVONN TEAGLECredential: PA-C
Location Address1501 DIVISION STBaltimore, MD 21217-3121
Mailing Address3106 Laurel View DrAbingdon, MD 21009-2626 · (410) 515-7747
Fax(410) 728-4412
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateNovember 30, 2010
NPI 1902807100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0001369
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1501 DIVISION ST, Baltimore, MD 21217

Other Identifiers 1

Medicare ID-Type Unspecified905611405MD

Other Providers at the Same Location NPPES 20

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

Family Medicine (Adolescent Medicine)
1501 DIVISION ST
BALTIMORE, MD 21217
Nurse Practitioner (Family)
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacy Technician
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacist
1501 DIVISION ST
BALTIMORE, MD 21217
Counselor (Addiction (Substance Use Disorder))
1501 DIVISION ST
BALTIMORE, MD 21217
Dentist (General Practice)
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1501 DIVISION ST
BALTIMORE, MD 21217
Dietitian, Registered
1501 DIVISION ST
BALTIMORE, MD 21217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denotta Teagle's NPI number?

The NPI number for Denotta Teagle is 1902807100. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Denotta Teagle located?

Denotta Teagle practices at 1501 Division St, Baltimore, MD 21217. The listed phone number is (410) 728-4176.

What is Denotta Teagle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Denotta Teagle was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.