| Catoctin Medical Group | |
|
100 S Center St Thurmont MD 21788-1910 | |
| (301) 271-4333 | |
| (301) 271-7486 |
| Full Name | Catoctin Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 100 S Center St, Thurmont, Maryland |
| Authorized Official Name and Position | James L Krantz (PRIMARY CARE PHYSICIAN) |
| Authorized Official Contact | 3012714333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catoctin Medical Group 100 South Center St Thurmont MD 21788-1910 Ph: (301) 271-4333 | Catoctin Medical Group 100 S Center St Thurmont MD 21788-1910 Ph: (301) 271-4333 |
| NPI Number | 1881609725 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 7618035494 |
|---|---|
| Medicare Enrollment ID | O20081023000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881609725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James L Krantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801992029 PECOS PAC ID: 3779641550 Enrollment ID: I20100923000616 |
| Provider Name | Lisa B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326366477 PECOS PAC ID: 2062666456 Enrollment ID: I20130213000050 |
| Provider Name | Andrea L Strawderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528464120 PECOS PAC ID: 3870812712 Enrollment ID: I20150428000539 |
| Provider Name | Julie Davisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366874109 PECOS PAC ID: 9537394333 Enrollment ID: I20170623000170 |
| Provider Name | Amreen S Aziz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750701173 PECOS PAC ID: 6406158187 Enrollment ID: I20171211000461 |
| Provider Name | Alysha L Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184136426 PECOS PAC ID: 0345508396 Enrollment ID: I20171220000935 |
| Provider Name | Deborah Chielli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811484132 PECOS PAC ID: 1355605700 Enrollment ID: I20180510001766 |
| Provider Name | Madeline A El Ghoul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437718699 PECOS PAC ID: 7810224805 Enrollment ID: I20190814001353 |
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