Columbia Medical Practice | |
5450 Knoll North Dr Suite 180 Columbia MD 21045-2300 | |
(410) 964-8500 | |
Not Available |
Full Name | Columbia Medical Practice |
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Speciality | General Practice |
Location | 5450 Knoll North Dr, Columbia, Maryland |
Authorized Official Name and Position | Sohail Khwaja (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4109646100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Columbia Medical Practice 5450 Knoll North Dr Suite 180 Columbia MD 21045-2300 Ph: (410) 964-6100 | Columbia Medical Practice 5450 Knoll North Dr Suite 180 Columbia MD 21045-2300 Ph: (410) 964-8500 |
NPI Number | 1558406017 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 9436114931 |
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Medicare Enrollment ID | O20041123001289 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558406017 | NPI | - | NPPES |
407079800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Dennis S Ginsberg |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1114955226 PECOS PAC ID: 5092777870 Enrollment ID: I20041103000572 |
Provider Name | R. Scott Strahlman |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174550636 PECOS PAC ID: 4284697863 Enrollment ID: I20041104000903 |
Provider Name | David M Leichtling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831126572 PECOS PAC ID: 0648234443 Enrollment ID: I20041111001080 |
Provider Name | James R Bellor |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1710905377 PECOS PAC ID: 6709840515 Enrollment ID: I20041111001111 |
Provider Name | Peter W Cheng |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437125515 PECOS PAC ID: 2567426372 Enrollment ID: I20041112000013 |
Provider Name | Karen Vorsteg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154509040 PECOS PAC ID: 0143388900 Enrollment ID: I20081022000658 |
Provider Name | Robert Cadogan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598767691 PECOS PAC ID: 8921084211 Enrollment ID: I20100127000144 |
Provider Name | William Saway |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780675652 PECOS PAC ID: 4082500244 Enrollment ID: I20101124000101 |
Provider Name | Saba Sheikh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053319210 PECOS PAC ID: 7618166760 Enrollment ID: I20110105001028 |
Provider Name | Stefanie L Osterloh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588919260 PECOS PAC ID: 0840437380 Enrollment ID: I20130501000014 |
Provider Name | Safia Tasneem |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306027180 PECOS PAC ID: 2769541770 Enrollment ID: I20150709000354 |
Provider Name | Cassandra B Mcdaniel |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629397112 PECOS PAC ID: 7012147879 Enrollment ID: I20160502000558 |
Provider Name | Mary Perry |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1669832606 PECOS PAC ID: 0941585178 Enrollment ID: I20170330000433 |
Provider Name | David Jang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356761969 PECOS PAC ID: 1254600281 Enrollment ID: I20190730001888 |
Provider Name | Reha Pokharel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801168463 PECOS PAC ID: 5193944494 Enrollment ID: I20190930002561 |
Provider Name | Peris Lango |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891343182 PECOS PAC ID: 8123435575 Enrollment ID: I20210331000848 |
Provider Name | Megan Cullen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962164376 PECOS PAC ID: 5092107607 Enrollment ID: I20220111001665 |
Provider Name | Rezvaneh Goodarzi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316544315 PECOS PAC ID: 3274926209 Enrollment ID: I20220215000847 |
Provider Name | Sabrina Choi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669196598 PECOS PAC ID: 8820461817 Enrollment ID: I20230222000173 |
Provider Name | Lincy Joby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437754793 PECOS PAC ID: 5890135669 Enrollment ID: I20240426000298 |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
Evergreen Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046 Phone: 301-575-8080 | |
Patient Care Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9650 Santiago Rd, Suite #110, Columbia, MD 21045 Phone: 410-992-7004 Fax: 410-992-1657 | |
First Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8600 Snowden River Pkwy Ste 207, Columbia, MD 21045 Phone: 301-515-2901 | |
Dr Beams Medical Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10794 Hickory Ridge Rd, Columbia, MD 21044 Phone: 443-832-9260 |