| Andres Salazar P A | |
|
3621 Ligon Rd Ellicott City MD 21042-5238 | |
| (410) 530-0454 | |
| Not Available |
| Full Name | Andres Salazar P A |
|---|---|
| Speciality | Family Medicine |
| Location | 3621 Ligon Rd, Ellicott City, Maryland |
| Authorized Official Name and Position | Andres Salazar (PRESIDENT) |
| Authorized Official Contact | 4105300454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andres Salazar P A 3621 Ligon Rd Ellicott City MD 21042-5238 Ph: (410) 530-0454 | Andres Salazar P A 3621 Ligon Rd Ellicott City MD 21042-5238 Ph: (410) 530-0454 |
| NPI Number | 1811041528 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870587322 |
|---|---|
| Medicare Enrollment ID | O20070830000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811041528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | D0051051 (Maryland) | Primary |
| Provider Name | Andres Eduardo Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265594493 PECOS PAC ID: 5395739858 Enrollment ID: I20070830000126 |
| Provider Name | Kumli S Anye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104221613 PECOS PAC ID: 2961727847 Enrollment ID: I20150218000193 |
Cecilia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3219 Corporate Ct, Ellicott City, MD 21042 Phone: 443-929-1462 | |
Graceway Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10259 Cabery Rd, Ellicott City, MD 21042 Phone: 667-300-8222 | |
Jeffrey R. Kaplan M.d. Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5116 Dorsey Hall Dr Ste A, Ellicott City, MD 21042 Phone: 410-964-9300 Fax: 410-964-9822 | |
Ellicott City Primary Care Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10298b Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-465-1091 Fax: 410-465-8129 | |
Integrative Health Practices, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9501 Old Annapolis Rd Ste 205, Ellicott City, MD 21042 Phone: 410-715-5256 | |
Pp And M Ventures Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3219 Corporate Ct, Ellicott City, MD 21042 Phone: 410-701-8485 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9055 Chevrolet Dr Ste 100, Ellicott City, MD 21042 Phone: 410-465-5454 |