| Choptank Community Health System Inc | |
|
301 Randolph St Denton MD 21629-1243 | |
| (410) 479-4306 | |
| (410) 479-1714 |
| Full Name | Choptank Community Health System Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Randolph St, Denton, Maryland |
| Authorized Official Name and Position | Sara Rich (CEO) |
| Authorized Official Contact | 4104794306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choptank Community Health System Inc 301 Randolph St Denton MD 21629-1243 Ph: (410) 479-4306 | Choptank Community Health System Inc 301 Randolph St Denton MD 21629-1243 Ph: (410) 479-4306 |
| NPI Number | 1356388599 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 0648189274 |
|---|---|
| Medicare Enrollment ID | O20040128000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356388599 | NPI | - | NPPES |
| 784381000 | Medicaid | MD | |
| CG0227 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Lori R Powley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780670067 PECOS PAC ID: 5193756393 Enrollment ID: I20050827000084 |
| Provider Name | Eric Hermansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154412450 PECOS PAC ID: 7719988245 Enrollment ID: I20070125000122 |
| Provider Name | Mary K Pittsinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801096847 PECOS PAC ID: 4385784651 Enrollment ID: I20091217000131 |
| Provider Name | Russell Schilling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568497360 PECOS PAC ID: 4587790027 Enrollment ID: I20100412000071 |
| Provider Name | Laurence Pezor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427055946 PECOS PAC ID: 5294981072 Enrollment ID: I20120809000798 |
| Provider Name | Jovonne C Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013252659 PECOS PAC ID: 1355579061 Enrollment ID: I20131231001621 |
| Provider Name | Deborah E Hyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760643217 PECOS PAC ID: 4082842752 Enrollment ID: I20140103000039 |
| Provider Name | Megan Wojtko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801229133 PECOS PAC ID: 4688803208 Enrollment ID: I20140131000361 |
| Provider Name | Kimberly L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336553247 PECOS PAC ID: 1759509904 Enrollment ID: I20140829000692 |
| Provider Name | Rebekah A Kroeger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942692132 PECOS PAC ID: 7113239989 Enrollment ID: I20150708000213 |
| Provider Name | Mark R Faber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831172071 PECOS PAC ID: 3173835295 Enrollment ID: I20150825003921 |
| Provider Name | Christina Drostin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497048524 PECOS PAC ID: 7113149600 Enrollment ID: I20160225001746 |
| Provider Name | Krystal M Algier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245696384 PECOS PAC ID: 4688970791 Enrollment ID: I20160315001880 |
| Provider Name | Kelly Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659820074 PECOS PAC ID: 7719268630 Enrollment ID: I20170106001026 |
| Provider Name | Rachel Spellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558713735 PECOS PAC ID: 8527345396 Enrollment ID: I20170503002007 |
| Provider Name | Richard John Snow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457652943 PECOS PAC ID: 6103007133 Enrollment ID: I20180103002915 |
| Provider Name | Michell M Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366524365 PECOS PAC ID: 5092814541 Enrollment ID: I20180205000444 |
| Provider Name | Gregory Dukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669986493 PECOS PAC ID: 9830450519 Enrollment ID: I20180220001485 |
| Provider Name | Binta Bojang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235655978 PECOS PAC ID: 8820340359 Enrollment ID: I20181011001842 |
| Provider Name | Vicki Ann Hardisty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720353287 PECOS PAC ID: 7012173982 Enrollment ID: I20181102000828 |
| Provider Name | Melinda K Payton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669943148 PECOS PAC ID: 7810234291 Enrollment ID: I20190123001362 |
| Provider Name | Christine Lynn Durham-pressley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144861063 PECOS PAC ID: 1355673864 Enrollment ID: I20191104001147 |
| Provider Name | Dara K Winfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134463847 PECOS PAC ID: 0446405872 Enrollment ID: I20200311000886 |
| Provider Name | Oluwaseyi A Oladunjoye Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427313980 PECOS PAC ID: 8729419460 Enrollment ID: I20200512003078 |
| Provider Name | Adeline Lee Melvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164953790 PECOS PAC ID: 9537446984 Enrollment ID: I20200527001285 |
| Provider Name | Jordan David Burnette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396275202 PECOS PAC ID: 8123399276 Enrollment ID: I20200701000732 |
| Provider Name | Danielle Wilkison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639763428 PECOS PAC ID: 4183031529 Enrollment ID: I20210331000284 |
| Provider Name | Sherri Lynn Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265913578 PECOS PAC ID: 5698174969 Enrollment ID: I20210519001450 |
| Provider Name | Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992372833 PECOS PAC ID: 7416351192 Enrollment ID: I20210803000131 |
| Provider Name | Kitty Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881368728 PECOS PAC ID: 4587069968 Enrollment ID: I20210824000085 |
| Provider Name | Kristen R Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437823150 PECOS PAC ID: 4981001930 Enrollment ID: I20210920000118 |
| Provider Name | Kira Thrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417625203 PECOS PAC ID: 4880091396 Enrollment ID: I20210927001774 |
| Provider Name | Lauren Leeanne Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194283325 PECOS PAC ID: 2264830322 Enrollment ID: I20211005001140 |
| Provider Name | Sarah Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194489096 PECOS PAC ID: 7214328756 Enrollment ID: I20211217000133 |
| Provider Name | Hilary Light-deutsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710984976 PECOS PAC ID: 8224421128 Enrollment ID: I20220216001408 |
| Provider Name | Laura Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518606482 PECOS PAC ID: 6507245362 Enrollment ID: I20220624001077 |
| Provider Name | Lindsay Madison Newcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205565116 PECOS PAC ID: 2264813401 Enrollment ID: I20220719001090 |
| Provider Name | April Ewing Peresian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932832748 PECOS PAC ID: 0840673505 Enrollment ID: I20220814000077 |
| Provider Name | Ebony Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104207034 PECOS PAC ID: 8325450539 Enrollment ID: I20220920000006 |
| Provider Name | Caleb Madden Consenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801325444 PECOS PAC ID: 1456620020 Enrollment ID: I20221004000074 |
| Provider Name | Abigail Barbara Webster |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447723903 PECOS PAC ID: 4082948013 Enrollment ID: I20221006003264 |
| Provider Name | Gregory A Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164402970 PECOS PAC ID: 6103812102 Enrollment ID: I20230227001877 |
| Provider Name | Samantha Elyse Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558714378 PECOS PAC ID: 8224499074 Enrollment ID: I20230726003926 |
| Provider Name | Eunice Asare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326425430 PECOS PAC ID: 9436460979 Enrollment ID: I20230727003604 |
| Provider Name | Fiona Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134708779 PECOS PAC ID: 1052772571 Enrollment ID: I20230801000818 |
| Provider Name | Jennifer Runz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659150704 PECOS PAC ID: 1557716370 Enrollment ID: I20231016000524 |
| Provider Name | Yenisey Valdes Torres |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972126761 PECOS PAC ID: 2668894239 Enrollment ID: I20231105000068 |
| Provider Name | Natalie Nicole Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447779772 PECOS PAC ID: 9436506375 Enrollment ID: I20231114001943 |
| Provider Name | Randi Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457704595 PECOS PAC ID: 8820493588 Enrollment ID: I20231213002543 |
| Provider Name | Vicki Rahenkamp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780911784 PECOS PAC ID: 6103230669 Enrollment ID: I20231216000139 |
| Provider Name | Deborah A Piez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689306581 PECOS PAC ID: 8123479151 Enrollment ID: I20240104000111 |
| Provider Name | Jessica Mae Runkle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184157000 PECOS PAC ID: 6103261722 Enrollment ID: I20240305001491 |
| Provider Name | Anna Ellyse Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407611007 PECOS PAC ID: 6204273196 Enrollment ID: I20240327003108 |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Blades Farm Rd Ste 101, Denton, MD 21629 Phone: 410-479-5900 | |
Denton Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 S 5th Ave, Denton, MD 21629 Phone: 410-479-2650 Fax: 833-916-1012 | |
Choptank Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Lockerman St, Denton, MD 21629 Phone: 410-479-4306 Fax: 410-479-1714 | |
Choptank Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 S 7th St, Denton, MD 21629 Phone: 410-479-4306 Fax: 410-479-1714 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Kerr Ave, Denton, MD 21629 Phone: 410-479-2130 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 S 5th Ave, Denton, MD 21629 Phone: 410-479-4639 |