Patriot Urgent Care | |
11804 Reisterstown Rd Reisterstown MD 21136-3311 | |
(410) 870-5094 | |
(410) 870-8076 |
Full Name | Patriot Urgent Care |
---|---|
Speciality | Clinic/Center |
Location | 11804 Reisterstown Rd, Reisterstown, Maryland |
Authorized Official Name and Position | Andrea Malik Roe (PRESIDENT) |
Authorized Official Contact | 6785046392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patriot Urgent Care 2675 Paces Ferry Rd Se Ste 200 Atlanta GA 30339-4099 Ph: (678) 504-6392 | Patriot Urgent Care 11804 Reisterstown Rd Reisterstown MD 21136-3311 Ph: (410) 870-5094 |
NPI Number | 1598435059 |
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Provider Enumeration Date | 09/16/2021 |
Last Update Date | 12/17/2021 |
Medicare PECOS PAC ID | 2466841028 |
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Medicare Enrollment ID | O20211119001771 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598435059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Robert W Desverreaux |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851391296 PECOS PAC ID: 0345212080 Enrollment ID: I20050825000965 |
Provider Name | Valerie E Goodman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659334852 PECOS PAC ID: 5193918258 Enrollment ID: I20101021000133 |
Provider Name | Su Young Seh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861708059 PECOS PAC ID: 2062692387 Enrollment ID: I20110203000640 |
Provider Name | Oluchi Josephine Ayichi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508141383 PECOS PAC ID: 3779734033 Enrollment ID: I20121114000081 |
Provider Name | Kharia J Holmes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265668347 PECOS PAC ID: 7214176551 Enrollment ID: I20130916000686 |
Provider Name | Nduka Kaliku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750726865 PECOS PAC ID: 6800023227 Enrollment ID: I20131210001853 |
Provider Name | Fri Jilla Longtchi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427319870 PECOS PAC ID: 1254631120 Enrollment ID: I20151125000368 |
Provider Name | Graciela Rodriguez Santos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285913772 PECOS PAC ID: 7911169784 Enrollment ID: I20151229001334 |
Provider Name | Chukwuemeka B Chima |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730419128 PECOS PAC ID: 7416255054 Enrollment ID: I20160414000382 |
Provider Name | Katoya Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588990725 PECOS PAC ID: 0941349435 Enrollment ID: I20160520001578 |
Provider Name | Kelly N Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346691896 PECOS PAC ID: 0648566075 Enrollment ID: I20160921000337 |
Provider Name | Amra Nasir |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407020449 PECOS PAC ID: 6709065568 Enrollment ID: I20161017001663 |
Provider Name | Theresa Medicus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720453533 PECOS PAC ID: 1557640984 Enrollment ID: I20161108000423 |
Provider Name | Shekayla Hooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801262712 PECOS PAC ID: 6608184510 Enrollment ID: I20161206000685 |
Provider Name | Jesse Okonigbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013363670 PECOS PAC ID: 0840575387 Enrollment ID: I20170323000833 |
Provider Name | Mary Darleen Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013318211 PECOS PAC ID: 7012230667 Enrollment ID: I20180108001444 |
Provider Name | Gloria I Lee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114192432 PECOS PAC ID: 9638245970 Enrollment ID: I20180221000951 |
Provider Name | Leah Goins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508319120 PECOS PAC ID: 5092062364 Enrollment ID: I20180717004111 |
Provider Name | Chiemerie E Uche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407351430 PECOS PAC ID: 7012265820 Enrollment ID: I20180809004692 |
Provider Name | Ahmad Mines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215407606 PECOS PAC ID: 2264770650 Enrollment ID: I20190211000155 |
Provider Name | Theo Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386110518 PECOS PAC ID: 6901145259 Enrollment ID: I20190304001069 |
Provider Name | Nalynn Bellegarde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831651900 PECOS PAC ID: 2062745292 Enrollment ID: I20190603003001 |
Provider Name | Lisa Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396206678 PECOS PAC ID: 8628308939 Enrollment ID: I20191001000277 |
Provider Name | Alexis Bautochka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376104976 PECOS PAC ID: 5991036741 Enrollment ID: I20191009003309 |
Provider Name | Ashley Marie Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720642986 PECOS PAC ID: 6709117146 Enrollment ID: I20191016000045 |
Provider Name | Alfred Tetteh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316583750 PECOS PAC ID: 7214361971 Enrollment ID: I20200106001013 |
Provider Name | Florence Fakayode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881255842 PECOS PAC ID: 0244666956 Enrollment ID: I20200128002144 |
Provider Name | Kristen A Leizear |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912544883 PECOS PAC ID: 6507292828 Enrollment ID: I20200206000389 |
Provider Name | Nilocent Antonio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689144180 PECOS PAC ID: 8426484080 Enrollment ID: I20200218000355 |
Provider Name | Ramsey Abaessien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134626302 PECOS PAC ID: 0941549489 Enrollment ID: I20200916000929 |
Provider Name | Olive Mouafo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962027599 PECOS PAC ID: 4880014752 Enrollment ID: I20201014001537 |
Provider Name | Sandra Rizzo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396351664 PECOS PAC ID: 5890198121 Enrollment ID: I20210726000296 |
Provider Name | Holly Nilsson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295408581 PECOS PAC ID: 8628475670 Enrollment ID: I20210920000084 |
Provider Name | Tomeka Franklin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447822341 PECOS PAC ID: 6305243742 Enrollment ID: I20210928000093 |
Provider Name | Mandell Butler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285091256 PECOS PAC ID: 7719284769 Enrollment ID: I20211012000757 |
Provider Name | Angela Mccullough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649842600 PECOS PAC ID: 2769872142 Enrollment ID: I20211129000106 |
Provider Name | Nadia Wedderburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386205391 PECOS PAC ID: 5294125837 Enrollment ID: I20211214000983 |
Provider Name | Erica Lemmert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346992450 PECOS PAC ID: 9032501952 Enrollment ID: I20220126000801 |
Provider Name | Elizabeth Catherine Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811419013 PECOS PAC ID: 1355601394 Enrollment ID: I20220131000436 |
Provider Name | James Yost |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295910073 PECOS PAC ID: 0042402471 Enrollment ID: I20220309000297 |
Provider Name | Taylor Touch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649926742 PECOS PAC ID: 4486049392 Enrollment ID: I20220311000291 |
Provider Name | Chun A Piao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982351250 PECOS PAC ID: 3072909878 Enrollment ID: I20220404002183 |
Provider Name | Conrad Shakes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811529787 PECOS PAC ID: 8325434939 Enrollment ID: I20220407001888 |
Provider Name | Niambi Renee Hogans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720725534 PECOS PAC ID: 5193103810 Enrollment ID: I20220608000642 |
Provider Name | Eronmwon Okonjo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447551072 PECOS PAC ID: 4880060730 Enrollment ID: I20221018000160 |
Provider Name | Joan Ejiofor-okoli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114648151 PECOS PAC ID: 1850767260 Enrollment ID: I20221026000249 |
Provider Name | Jeanine Swan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346958451 PECOS PAC ID: 9638549918 Enrollment ID: I20230102000013 |
Provider Name | Karen Ann Prahler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578166492 PECOS PAC ID: 9032589940 Enrollment ID: I20230110000504 |
Provider Name | Taneicole Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649994518 PECOS PAC ID: 5395119093 Enrollment ID: I20230330002876 |
Provider Name | Janet Folem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588215479 PECOS PAC ID: 6800277930 Enrollment ID: I20230412000065 |
Provider Name | Michele Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790453876 PECOS PAC ID: 1052771276 Enrollment ID: I20230720002613 |
Provider Name | Erin Patterson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033594296 PECOS PAC ID: 6305148008 Enrollment ID: I20230921002907 |
Provider Name | Christina Council |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831539451 PECOS PAC ID: 9234435967 Enrollment ID: I20230928004194 |
Provider Name | Genevieve Fom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184319774 PECOS PAC ID: 8325400153 Enrollment ID: I20230929001181 |
Provider Name | Deborah Koroma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780982066 PECOS PAC ID: 1850707886 Enrollment ID: I20231121001482 |
Provider Name | Nicolette Mccrary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912670274 PECOS PAC ID: 5496146649 Enrollment ID: I20231217000000 |
Provider Name | Chelsea H Thompson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487016119 PECOS PAC ID: 0648539163 Enrollment ID: I20240104004748 |
Provider Name | Charity Ijeoma Ehiem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073111209 PECOS PAC ID: 6103229133 Enrollment ID: I20240517001907 |
Provider Name | Jennifer Mcgonnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144087032 PECOS PAC ID: 5496297806 Enrollment ID: I20240612003338 |
Atlantic Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10952 Baskerville Rd, Reisterstown, MD 21136 Phone: 410-356-5761 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Westminster Pike, Reisterstown, MD 21136 Phone: 410-427-5430 | |
Harmony Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Suite 200, Reisterstown, MD 21136 Phone: 410-526-8310 Fax: 410-526-8316 | |
Divine Health Psychiatric Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 E Cherry Hill Rd, Reisterstown, MD 21136 Phone: 443-204-3919 Fax: 410-521-3671 | |
Carroll Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Westminster Pike, Suite 101, Reisterstown, MD 21136 Phone: 410-517-2840 | |
Immunity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Main St Fl 2, Reisterstown, MD 21136 Phone: 410-297-1601 Fax: 443-285-0787 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Main St Ste 310, Reisterstown, MD 21136 Phone: 410-526-7800 |