=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831285550
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES KAISER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2006
-----------------------------------------------------
Last Update Date | 07/28/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 NORTH GREENE ST. BALTIMORE VA MEDICAL CENTER
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-605-7197
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8458 KING'S MEADE WAY
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21046-1253
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-381-5682
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | D0038761
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------