| Parkinson's And Movement Disorders Center Of Maryland, Llc | |
|
8180 Lark Brown Rd Suite 101 Elkridge MD 21075-6425 | |
| (443) 755-0030 | |
| (443) 755-9329 |
| Full Name | Parkinson's And Movement Disorders Center Of Maryland, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8180 Lark Brown Rd, Elkridge, Maryland |
| Authorized Official Name and Position | Nicole Novelle Saunders (PRACTICE MANAGER) |
| Authorized Official Contact | 4437550030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkinson's And Movement Disorders Center Of Maryland, Llc 8180 Lark Brown Rd Suite 101 Elkridge MD 21075-6425 Ph: (443) 755-0030 | Parkinson's And Movement Disorders Center Of Maryland, Llc 8180 Lark Brown Rd Suite 101 Elkridge MD 21075-6425 Ph: (443) 755-0030 |
| NPI Number | 1790990398 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204890866 |
|---|---|
| Medicare Enrollment ID | O20041115000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790990398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Stephen E Grill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023129269 PECOS PAC ID: 7214109032 Enrollment ID: I20111020000130 |
| Provider Name | Shawn F Smyth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447306121 PECOS PAC ID: 1456517036 Enrollment ID: I20120726000059 |
| Provider Name | Jason S Hawley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477635985 PECOS PAC ID: 1254562044 Enrollment ID: I20210820000244 |
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