Mark A Mashburn, MD | |
23 Crossroads Dr, Suite 400, Owings Mills, MD 21117-5420 | |
(410) 356-2626 | |
(410) 356-8945 |
Full Name | Mark A Mashburn |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 23 Crossroads Dr, Owings Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083791230 | NPI | - | NPPES |
484391600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | D36069 (Maryland) | Primary |
Entity Name | Centers For Advanced Ent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447781620 PECOS PAC ID: 1658647359 Enrollment ID: O20171025001018 |
Mailing Address | Practice Location Address |
---|---|
Mark A Mashburn, MD 23 Crossroads Dr, S. 400, Owings Mills, MD 21117-5420 Ph: (410) 356-2626 | Mark A Mashburn, MD 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117-5420 Ph: (410) 356-2626 |
Kevin Connolly, Otolaryngology Medicare: Medicare Enrolled Practice Location: 23 Crossroads Dr Ste 400, Owings Mills, MD 21117 Phone: 410-356-2626 | |
Dr. Douglas C Mccorkle, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 10 Crossroads Drive, Suite 100, Owings Mills, MD 21117 Phone: 410-363-7172 Fax: 410-363-7188 | |
Michael David Weiss, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 | |
Tam N Nguyen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 Fax: 410-356-8945 | |
Daniel Victor Santos, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 | |
Scott D. London, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-356-2626 |