| Annapolis Internal Medicine, Llc | |
|
116 Defense Hwy Ste 400 Annapolis MD 21401-7027 | |
| (410) 897-9841 | |
| (410) 897-9852 |
| Full Name | Annapolis Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 116 Defense Hwy, Annapolis, Maryland |
| Authorized Official Name and Position | Howard D Goldstein (PARTNER) |
| Authorized Official Contact | 4108979841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annapolis Internal Medicine, Llc 116 Defense Hwy Ste 400 Annapolis MD 21401-7027 Ph: (410) 897-9841 | Annapolis Internal Medicine, Llc 116 Defense Hwy Ste 400 Annapolis MD 21401-7027 Ph: (410) 897-9841 |
| NPI Number | 1477629681 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 2163324997 |
|---|---|
| Medicare Enrollment ID | O20040122000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477629681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sara C Adelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427142553 PECOS PAC ID: 6709819899 Enrollment ID: I20050919000425 |
| Provider Name | Heather S Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386692960 PECOS PAC ID: 4385655018 Enrollment ID: I20060509001033 |
| Provider Name | Andre S Colaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366598898 PECOS PAC ID: 3173683836 Enrollment ID: I20081125000608 |
| Provider Name | Titus C Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598764540 PECOS PAC ID: 7315008752 Enrollment ID: I20081204000212 |
| Provider Name | Courtney A Milne-krohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588823611 PECOS PAC ID: 2668526369 Enrollment ID: I20090814000244 |
| Provider Name | Michele R Smadja-gordon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811975733 PECOS PAC ID: 1759574353 Enrollment ID: I20101014001200 |
| Provider Name | Timothy Gerard Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114926052 PECOS PAC ID: 3274727128 Enrollment ID: I20101104000487 |
| Provider Name | Stephen Clarke Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255319166 PECOS PAC ID: 7214123413 Enrollment ID: I20101130001112 |
| Provider Name | Wynn Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235298654 PECOS PAC ID: 5991993982 Enrollment ID: I20101216000961 |
| Provider Name | Katherine J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841459187 PECOS PAC ID: 1153599949 Enrollment ID: I20110721000729 |
| Provider Name | Patricia P O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215163407 PECOS PAC ID: 2062676901 Enrollment ID: I20120606000067 |
| Provider Name | Brenda K Mathews-vitello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003084237 PECOS PAC ID: 1254586910 Enrollment ID: I20130301000325 |
| Provider Name | Rita Jeyarani Shkullaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699900522 PECOS PAC ID: 2365681491 Enrollment ID: I20130620000294 |
| Provider Name | Jennifer Lynn Cuhran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306078076 PECOS PAC ID: 8527218296 Enrollment ID: I20130814000453 |
| Provider Name | Kirti Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487917605 PECOS PAC ID: 3274841929 Enrollment ID: I20150930001926 |
| Provider Name | Heidi M Marcozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316319973 PECOS PAC ID: 9537462114 Enrollment ID: I20160115000578 |
| Provider Name | Mandy L Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376904136 PECOS PAC ID: 4587963616 Enrollment ID: I20160425000918 |
| Provider Name | Amy E Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396195384 PECOS PAC ID: 6800180951 Enrollment ID: I20160811002111 |
| Provider Name | Alexandra Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093356511 PECOS PAC ID: 7214364926 Enrollment ID: I20200219000058 |
| Provider Name | Maura Mcdonnell Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215562756 PECOS PAC ID: 8628408747 Enrollment ID: I20200413003516 |
| Provider Name | Margaret H Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538646880 PECOS PAC ID: 0143573972 Enrollment ID: I20200715000100 |
| Provider Name | Kelsey Wuest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568120574 PECOS PAC ID: 4284029448 Enrollment ID: I20220324002931 |
| Provider Name | Kristin E Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639826852 PECOS PAC ID: 7618355223 Enrollment ID: I20220609000579 |
| Provider Name | Kayla Michelle Mcgarvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265204101 PECOS PAC ID: 7113376237 Enrollment ID: I20231213004114 |
| Provider Name | Daniele Nichole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487425369 PECOS PAC ID: 5890138622 Enrollment ID: I20240226004214 |
| Provider Name | Jamie Elizabeth Jessup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184492712 PECOS PAC ID: 0244678464 Enrollment ID: I20240409000076 |
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