Carroll Primary Care, Pa | |
1380 Progress Way Suite 114 Eldersburg MD 21784-6464 | |
(410) 795-1888 | |
(410) 795-3538 |
Full Name | Carroll Primary Care, Pa |
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Speciality | Family Medicine |
Location | 1380 Progress Way, Eldersburg, Maryland |
Authorized Official Name and Position | Michael Keith Mcevoy (V. PRESIDENT, CARROLL PRIMARY CARE) |
Authorized Official Contact | 4107981888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carroll Primary Care, Pa 1380 Progress Way Suite 114 Eldersburg MD 21784-6464 Ph: (410) 795-1888 | Carroll Primary Care, Pa 1380 Progress Way Suite 114 Eldersburg MD 21784-6464 Ph: (410) 795-1888 |
NPI Number | 1427189174 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 05/17/2010 |
Medicare PECOS PAC ID | 2668447533 |
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Medicare Enrollment ID | O20040902000090 |
Identifier | Type | State | Issuer |
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1427189174 | NPI | - | NPPES |
208571200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stephen J Sikorski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710063359 PECOS PAC ID: 1658409081 Enrollment ID: I20100505001008 |
Provider Name | Michael K Mcevoy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669558219 PECOS PAC ID: 8729118914 Enrollment ID: I20100615000371 |
Provider Name | Nilar U |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760416069 PECOS PAC ID: 0244232338 Enrollment ID: I20101004000044 |
Provider Name | Arman Janloo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710169446 PECOS PAC ID: 4981759875 Enrollment ID: I20110815000211 |
Provider Name | Quiana Winkler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548998842 PECOS PAC ID: 6204212236 Enrollment ID: I20220928003395 |
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