St Agnes Healthcare Inc · Internal Medicine Physician

3585 Washington Blvd, Halethorpe, MD 21227-1676

Overview

St Agnes Healthcare Inc is a Internal Medicine Physician (organization) practicing in Baltimore, Maryland. The National Provider Identifier (NPI) is #1144250176, which was assigned on July 4, 2006, and the registration record was last updated on June 2, 2025. The practitioner's main practice location is at 900 Caton Ave, Baltimore, MD 21229-5201; the contact telephone number is 6672342149, and the fax number is 6672348644. The primary taxonomy of St Agnes Healthcare Inc is Internal Medicine Physician (207R00000X). The authorized official for St Agnes Healthcare Inc is Mr. William B Higginbotham (President/Ceo).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1144250176
Entity Type Organization
Organization Name ST AGNES HEALTHCARE INC
Provider Name ST AGNES HEALTHCARE INC
Practice Address 900 Caton Ave
Baltimore
MD 21229-5201
Practice Telephone 6672342149
Practice Fax Number 6672348644
Mailing Address 3585 Washington Blvd
Halethorpe
MD 21227-1676
Mailing Telephone 6672342149
Mailing Fax Number 6672348644
Certification Date 2025-06-02
Enumeration Date 2006-07-04
Last Update Date 2025-06-02
Is Organization Subpart Y
Parent Organization Legal Business Name ST AGNES HEALTHCARE INC

Authorized Official Information

Official Name MR. WILLIAM B HIGGINBOTHAM
Official Title PRESIDENT/CEO
Telephone 6672343162

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207V00000XObstetrics & Gynecology193200000X MULTI-SPECIALTY GROUP
N207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine193200000X MULTI-SPECIALTY GROUP
N207X00000XOrthopaedic Surgery193200000X MULTI-SPECIALTY GROUP
N208000000XPediatrics193200000X MULTI-SPECIALTY GROUP
N2084N0400XPsychiatry & NeurologyNeurology193200000X MULTI-SPECIALTY GROUP
N2084P0800XPsychiatry & NeurologyPsychiatry193200000X MULTI-SPECIALTY GROUP
N208600000XSurgery193200000X MULTI-SPECIALTY GROUP
N208M00000XHospitalist193200000X MULTI-SPECIALTY GROUP
N363A00000XPhysician Assistant193200000X MULTI-SPECIALTY GROUP
N363L00000XNurse Practitioner193200000X MULTI-SPECIALTY GROUP
N207RC0000XInternal MedicineCardiovascular Disease193200000X MULTI-SPECIALTY GROUP
N207RC0200XInternal MedicineCritical Care Medicine193200000X MULTI-SPECIALTY GROUP
N207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism193200000X MULTI-SPECIALTY GROUP
N207RX0202XInternal MedicineMedical Oncology193200000X MULTI-SPECIALTY GROUP
Y207R00000XInternal Medicine193200000X MULTI-SPECIALTY GROUP

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
216121400MDMEDICAID
W662MDCAREFIRST BCBSOther

Other Provider Names

Other Organization NameType
INTEGRATED SPECIALISTS GROUPDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207V00000X
Taxonomy Obstetrics & Gynecology Physician
Classification Obstetrics & Gynecology
Grouping Allopathic & Osteopathic Physicians
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Other Taxonomy

Code 207VM0101X
Taxonomy Maternal & Fetal Medicine Physician
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Other Taxonomy

Code 207X00000X
Taxonomy Orthopaedic Surgery Physician
Classification Orthopaedic Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Other Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Other Taxonomy

Code 2084N0400X
Taxonomy Neurology Physician
Classification Psychiatry & Neurology
Specialization Neurology
Grouping Allopathic & Osteopathic Physicians
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Other Taxonomy

Code 2084P0800X
Taxonomy Psychiatry Physician
Classification Psychiatry & Neurology
Specialization Psychiatry
Grouping Allopathic & Osteopathic Physicians
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Other Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Other Taxonomy

Code 208M00000X
Taxonomy Hospitalist Physician
Classification Hospitalist
Grouping Allopathic & Osteopathic Physicians
Definition: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition added] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Other Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
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.

Other Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Other Taxonomy

Code 207RC0000X
Taxonomy Cardiovascular Disease Physician
Classification Internal Medicine
Specialization Cardiovascular Disease
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207RC0200X
Taxonomy Critical Care Medicine (Internal Medicine) Physician
Classification Internal Medicine
Specialization Critical Care Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207RE0101X
Taxonomy Endocrinology, Diabetes & Metabolism Physician
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207RX0202X
Taxonomy Medical Oncology Physician
Classification Internal Medicine
Specialization Medical Oncology
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

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Location Information

Street Address 3585 WASHINGTON BLVD
City HALETHORPE
State MD
Zip Code 21227-1676
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Dispatchhealth-Arizona 3700 Koppers St Ste 150, Baltimore, MD 21227-1042Emergency Medicine Physician2024-08-09
Advanced Spine and Pain Centers, PLLC 3720 Washington Blvd Ste 100, Halethorpe, MD 21227-1660Interventional Pain Medicine Physician2025-10-23
Genesis Physiatry Consultants LLC 3320 Benson Ave, Halethorpe, MD 21227-1035Physical Medicine & Rehabilitation Physician2022-12-05
Ryse Health Maryland Physicians, PC 3700 Koppers St Ste 510, Baltimore, MD 21227-1051Endocrinology, Diabetes & Metabolism Physician2022-01-11
Resolution Health and Wellness Center, LLC 1401 S Edgewood St Ste 100, Halethorpe, MD 21227-1145Primary Care Nurse Practitioner2025-09-11
Erin Michelle Saunders 3424 Annapolis Rd, Baltimore, MD 21227-1117Family Nurse Practitioner2025-07-22
Deshawna D Brown 4816 Fernley Sq Apt 1, Halethorpe, MD 21227-1360Social Worker2025-10-02
Apex Healthcare, LLC 3308 Benson Ave, Baltimore, MD 21227-1035Cardiovascular Disease Physician2025-05-21
Wal-Mart Stores East Lp 3601 Washington Blvd, Arbutus, MD 21227-1627Durable Medical Equipment & Medical Supplies2007-07-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.