Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Agnes Healthcare, Inc

Organization Cardiovascular Disease Physician · NPI 1629389630

St Agnes Healthcare, Inc is a Cardiovascular Disease Physician in Baltimore, Maryland. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Caton Ave
Baltimore, MD 21229-5201
Phone: (667) 234-2126
Fax: (667) 234-2947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1629389630
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Agnes Healthcare, Inc
Authorized official Keith Vander Kolk — President/Ceo · (667) 234-2101
Other names St. Agnes Professional Services
NPI enumeratedJune 24, 2010
Last updated in NPPESFebruary 25, 2016
Mailing address3585 Washington Blvd, Halethorpe, MD 21227-1676

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