Provider Demographics
NPI:1336337906
Name:SWEET, STEVEN MICHAEL (PA-C)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:SWEET
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:7253 AMBASSADOR RD STE 200
Mailing Address - Street 2:ADVANCED RADIOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2710
Mailing Address - Country:US
Mailing Address - Phone:410-787-4633
Mailing Address - Fax:
Practice Address - Street 1:601 N CAROLINE ST FL 6
Practice Address - Street 2:JOHNS HOPKINS OUTPATIENT CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0006
Practice Address - Country:US
Practice Address - Phone:410-502-9827
Practice Address - Fax:410-955-6526
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2010-09-20
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Provider Licenses
StateLicense IDTaxonomies
MDC03609363AS0400X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical