| Usa Sleep Diagnostic Services | |
|
1215 Annapolis Rd Ste 202 Odenton MD 21113-1349 | |
| (888) 792-4445 | |
| (888) 765-6615 |
| Full Name | Usa Sleep Diagnostic Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1215 Annapolis Rd Ste 202, Odenton, Maryland |
| Authorized Official Name and Position | Thurlyn Bryan Wilson (CEO) |
| Authorized Official Contact | 8887924445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usa Sleep Diagnostic Services 6030 Daybreak Cir Ste A150260 Clarksville MD 21029-1642 Ph: (888) 792-4445 | Usa Sleep Diagnostic Services 1215 Annapolis Rd Ste 202 Odenton MD 21113-1349 Ph: (888) 792-4445 |
| NPI Number | 1619343092 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Medicare PECOS PAC ID | 4284956335 |
|---|---|
| Medicare Enrollment ID | O20200810000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619343092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | 20179 (Virginia) | Primary |
| Provider Name | Tracy Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912456989 PECOS PAC ID: 0941581235 Enrollment ID: I20161228001181 |
| Provider Name | Titilayo Akinsola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902371321 PECOS PAC ID: 4183966047 Enrollment ID: I20190425002413 |
| Provider Name | Josephine Tafie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871937482 PECOS PAC ID: 4587089420 Enrollment ID: I20200810000743 |
| Provider Name | Ramin Ipakchi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912080334 PECOS PAC ID: 8628038569 Enrollment ID: I20200810000888 |
| Provider Name | Esther Ozor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538665294 PECOS PAC ID: 7517216377 Enrollment ID: I20200811000808 |
| Provider Name | Nkeiru Omo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870227 PECOS PAC ID: 4688074388 Enrollment ID: I20210617001480 |
| Provider Name | Rachel Marie Henchcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558936559 PECOS PAC ID: 0941696256 Enrollment ID: I20220413000126 |
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