Provider Demographics
NPI:1073503017
Name:TRAPENI, JOANNE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:MARIE
Last Name:TRAPENI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-6369
Practice Address - Fax:410-502-3714
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010130L2085R0202X
MDH885922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA212048OtherJOHNS HOPKINS
MD740301100Medicaid
PA237343OtherUNISON-WMG
PA5810698OtherAETNA
PA1521075OtherGATEWAY WMG
MD919374OtherCAREFIRST MD BCBS
PA976450OtherHIGHMARK BLUE SHIELD
PA001722566Medicaid
PA20069121OtherAMERIHEALTH MERCY-WMG
PA50074898OtherCAPITAL BLUE CROSS-WMG
MD919374OtherCAREFIRST MD BCBS
PA001722566Medicaid
PA023386FLTMedicare PIN