Genesis Eldercare Physician Services Llc | |
6508 Deer Pointe Dr Suite A Salisbury MD 21804 | |
(410) 543-1957 | |
(410) 543-8942 |
Full Name | Genesis Eldercare Physician Services Llc |
---|---|
Speciality | Internal Medicine |
Location | 6508 Deer Pointe Dr, Salisbury, Maryland |
Authorized Official Name and Position | Eric Shapiro (VP, CONTROLLER) |
Authorized Official Contact | 4108327790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Genesis Eldercare Physician Services Llc Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 6508 Deer Pointe Dr Suite A Salisbury MD 21804 Ph: (410) 543-1957 |
NPI Number | 1881635183 |
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Provider Enumeration Date | 06/09/2006 |
Last Update Date | 08/05/2019 |
Medicare PECOS PAC ID | 9830002534 |
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Medicare Enrollment ID | O20050124000329 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881635183 | NPI | - | NPPES |
999320700 | Medicaid | MD | |
999320705 | Medicaid | MD | |
B018 | Other | DC | CAREFIRST BCBS OF NCA GP |
KQ54GE | Other | MD | CAREFIRST BCBS OF MD GP # |
Provider Name | Sibte A Kazmi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861451361 PECOS PAC ID: 5193611887 Enrollment ID: I20040227000781 |
Provider Name | Nicole R Richardson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023000775 PECOS PAC ID: 4688563273 Enrollment ID: I20040311001528 |
Provider Name | Kelson Figaro |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1831128750 PECOS PAC ID: 1759275340 Enrollment ID: I20040527000498 |
Provider Name | Sharad Satyal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033177852 PECOS PAC ID: 4880659143 Enrollment ID: I20041129000287 |
Provider Name | Gerri L Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235276833 PECOS PAC ID: 9638123516 Enrollment ID: I20050303001006 |
Provider Name | Jennifer Mays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942209069 PECOS PAC ID: 5890741532 Enrollment ID: I20050408000461 |
Provider Name | Daljeet Sidhu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578503686 PECOS PAC ID: 0749227775 Enrollment ID: I20050412000534 |
Provider Name | Ellen Cassidy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013982248 PECOS PAC ID: 3072558535 Enrollment ID: I20050624000330 |
Provider Name | Mateen Awan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316918303 PECOS PAC ID: 0446298731 Enrollment ID: I20050812000547 |
Provider Name | Malik Rehman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568483493 PECOS PAC ID: 2365472057 Enrollment ID: I20051025000341 |
Provider Name | Virginie Chebou Ngantchon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194764514 PECOS PAC ID: 9436176609 Enrollment ID: I20051027000129 |
Provider Name | Hemen Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821002601 PECOS PAC ID: 2466487897 Enrollment ID: I20051031000335 |
Provider Name | Jude Cabatingan Muneses |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548286289 PECOS PAC ID: 8224028238 Enrollment ID: I20051227000400 |
Provider Name | Shirley J Seward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184771966 PECOS PAC ID: 0941223150 Enrollment ID: I20060112001042 |
Provider Name | Kenneth Lindyberg |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1366483919 PECOS PAC ID: 7810909603 Enrollment ID: I20060616000193 |
Provider Name | Juachi I Mbah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659326411 PECOS PAC ID: 0345245759 Enrollment ID: I20060918000480 |
Provider Name | Kristyn L Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053355479 PECOS PAC ID: 5395740732 Enrollment ID: I20060919000155 |
Provider Name | Nycole Hollington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558460287 PECOS PAC ID: 9638178296 Enrollment ID: I20061207000474 |
Provider Name | Yogesh Vohra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598785412 PECOS PAC ID: 8426059148 Enrollment ID: I20070124000232 |
Provider Name | Hung T Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669446548 PECOS PAC ID: 8224039482 Enrollment ID: I20070131000096 |
Provider Name | Karen Ann Cousins |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1912921453 PECOS PAC ID: 1456381474 Enrollment ID: I20070209000069 |
Provider Name | Getachew Tefferra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770625907 PECOS PAC ID: 6507950136 Enrollment ID: I20070913000413 |
Provider Name | Diana M Ng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982769931 PECOS PAC ID: 3577658970 Enrollment ID: I20071001000126 |
Provider Name | Sharon Lee Demarco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891980967 PECOS PAC ID: 8022103449 Enrollment ID: I20071001000333 |
Provider Name | Muhammad Naeem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710186291 PECOS PAC ID: 0345337671 Enrollment ID: I20071101000683 |
Provider Name | Sandra B Shaheed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275738965 PECOS PAC ID: 5294819256 Enrollment ID: I20080228000639 |
Provider Name | Wajahath Mohsini |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1467637751 PECOS PAC ID: 5698834455 Enrollment ID: I20081107000491 |
Provider Name | Muhammad A Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568575074 PECOS PAC ID: 6800814559 Enrollment ID: I20090216000240 |
Provider Name | Shirene Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932383288 PECOS PAC ID: 4385785971 Enrollment ID: I20100105000122 |
Provider Name | Ali M Yahya |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013934181 PECOS PAC ID: 8022141803 Enrollment ID: I20100730000183 |
Provider Name | Kirandeep Kaur |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073742102 PECOS PAC ID: 1153445143 Enrollment ID: I20100827000179 |
Provider Name | Nader Tavakoli-jalili |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407059413 PECOS PAC ID: 0143272922 Enrollment ID: I20100921001099 |
Provider Name | Jacqueline Ryan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851360192 PECOS PAC ID: 8224222039 Enrollment ID: I20101104001388 |
Provider Name | Josjin Vazhappilly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851520936 PECOS PAC ID: 8820283583 Enrollment ID: I20101112000163 |
Provider Name | Jose G Martinez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417907858 PECOS PAC ID: 6608861778 Enrollment ID: I20101116000194 |
Provider Name | Aleyamma Mathew |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659307627 PECOS PAC ID: 4284820184 Enrollment ID: I20101117001516 |
Provider Name | Ellen R Mcinerney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235176157 PECOS PAC ID: 8527951144 Enrollment ID: I20101122000542 |
Provider Name | Liaqat Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700857232 PECOS PAC ID: 3577459502 Enrollment ID: I20101208000557 |
Provider Name | Suela Kaba |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730383571 PECOS PAC ID: 1557558814 Enrollment ID: I20101213000428 |
Provider Name | Addisu M Temesgen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386971927 PECOS PAC ID: 4183812266 Enrollment ID: I20101216000820 |
Provider Name | Stephanie A Joy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134425028 PECOS PAC ID: 0042495244 Enrollment ID: I20110504000132 |
Provider Name | Sadia N Baqai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144556846 PECOS PAC ID: 2961544671 Enrollment ID: I20110622000248 |
Provider Name | Sameer Tajudden Shaik Abdul |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700033883 PECOS PAC ID: 8921270620 Enrollment ID: I20110930000137 |
Provider Name | Natasha L Loving |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053698407 PECOS PAC ID: 4688840580 Enrollment ID: I20111230000116 |
Provider Name | Arun Raghunath |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821222530 PECOS PAC ID: 6204003700 Enrollment ID: I20120125000042 |
Provider Name | Rita U Ntosi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700153210 PECOS PAC ID: 1759548332 Enrollment ID: I20120209000373 |
Provider Name | Grace D Emasealu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619279502 PECOS PAC ID: 6305005703 Enrollment ID: I20120305000155 |
Provider Name | Patricia A Oshodi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558516187 PECOS PAC ID: 9133250624 Enrollment ID: I20120327000057 |
Provider Name | Carrie A Dana-evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548536675 PECOS PAC ID: 4183887540 Enrollment ID: I20120522000930 |
Provider Name | Michael J Warren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710245220 PECOS PAC ID: 9032374814 Enrollment ID: I20120628000405 |
Provider Name | Yvonne Etenyi Fomengia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215286810 PECOS PAC ID: 0840449872 Enrollment ID: I20121005000408 |
Provider Name | Millicent M Edgar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437452760 PECOS PAC ID: 5991981326 Enrollment ID: I20121219000328 |
Provider Name | Kristen Lynn Gordy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811332307 PECOS PAC ID: 5799912234 Enrollment ID: I20131209000943 |
Provider Name | Monica Lovins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861732331 PECOS PAC ID: 9739319724 Enrollment ID: I20140314000125 |
Provider Name | Thomas Masterson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649224643 PECOS PAC ID: 1456373802 Enrollment ID: I20140326000433 |
Provider Name | Elizabeth Raywer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063835239 PECOS PAC ID: 3870725245 Enrollment ID: I20140417001120 |
Provider Name | Theresa A Wilhelm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184061053 PECOS PAC ID: 3274774534 Enrollment ID: I20141021001986 |
Provider Name | Saadia A Husain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396854584 PECOS PAC ID: 8022019488 Enrollment ID: I20141106001704 |
Provider Name | Melissa Barksdale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174927461 PECOS PAC ID: 5890018105 Enrollment ID: I20141217001845 |
Provider Name | Linsey Petrucci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750773008 PECOS PAC ID: 3971820218 Enrollment ID: I20150325000296 |
Provider Name | Deborah A Stein |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538214382 PECOS PAC ID: 3870692502 Enrollment ID: I20150427001699 |
Provider Name | Frances E Williams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285673368 PECOS PAC ID: 6507813359 Enrollment ID: I20150512000460 |
Provider Name | Amanda Ruch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326430414 PECOS PAC ID: 5395065668 Enrollment ID: I20150528000598 |
Provider Name | Rasaq Abu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578663019 PECOS PAC ID: 0244214625 Enrollment ID: I20151228000133 |
Provider Name | Nattile Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811374515 PECOS PAC ID: 7810299740 Enrollment ID: I20160108000677 |
Provider Name | Bridgette A Gillin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366815698 PECOS PAC ID: 2365744299 Enrollment ID: I20160108000984 |
Provider Name | Karen Vancamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003272840 PECOS PAC ID: 3375847155 Enrollment ID: I20160216000232 |
Provider Name | Reshata Mills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104240274 PECOS PAC ID: 4284853557 Enrollment ID: I20160513000396 |
Provider Name | Shahana Karim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275591141 PECOS PAC ID: 6800067083 Enrollment ID: I20160705002049 |
Provider Name | Jazab Sheikh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043655186 PECOS PAC ID: 8820232705 Enrollment ID: I20160711001944 |
Provider Name | Hawa Osime |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154539815 PECOS PAC ID: 0345315552 Enrollment ID: I20160721002356 |
Provider Name | Melissa Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750730222 PECOS PAC ID: 7618263021 Enrollment ID: I20160912001703 |
Provider Name | Emily Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124451133 PECOS PAC ID: 9335378421 Enrollment ID: I20161227001313 |
Provider Name | Hyunji C Edward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316480171 PECOS PAC ID: 4082990494 Enrollment ID: I20170420001086 |
Provider Name | Embarka Chaib |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548796501 PECOS PAC ID: 8527336262 Enrollment ID: I20170621000795 |
Provider Name | Funmilayo Oluwole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780115345 PECOS PAC ID: 1759650468 Enrollment ID: I20170711002793 |
Provider Name | Yusra Azmi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659786671 PECOS PAC ID: 1557636529 Enrollment ID: I20171002003491 |
Provider Name | Melissa Victoria Deitzel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346390127 PECOS PAC ID: 6406089796 Enrollment ID: I20171017000680 |
Provider Name | Kuroush Aligholizadeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144734492 PECOS PAC ID: 2860754470 Enrollment ID: I20180320000673 |
Provider Name | Cassandra Anne-crowder Hild |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881189280 PECOS PAC ID: 2264780592 Enrollment ID: I20180802003622 |
Provider Name | Carla Schell Bowling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013439561 PECOS PAC ID: 9133493216 Enrollment ID: I20180917000150 |
Provider Name | Nidal N Babaa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20181221002067 |
Provider Name | Funmilayo O Oni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366916686 PECOS PAC ID: 4880931047 Enrollment ID: I20190125000294 |
Provider Name | Ahsan Afzal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316263692 PECOS PAC ID: 1052553914 Enrollment ID: I20190221002000 |
Provider Name | Bibi Aysha Siddhika |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720264658 PECOS PAC ID: 9739467226 Enrollment ID: I20190729001365 |
Provider Name | Kwabena Asante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235602905 PECOS PAC ID: 6305175100 Enrollment ID: I20190904000412 |
Provider Name | Odette Solange Kemvo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952949299 PECOS PAC ID: 1951730928 Enrollment ID: I20200326003819 |
Provider Name | Belinda Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366067555 PECOS PAC ID: 0244653699 Enrollment ID: I20200702000968 |
Provider Name | Humaira Siddiqui |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093976177 PECOS PAC ID: 1456485754 Enrollment ID: I20200811002478 |
Provider Name | Cyriac Nchang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427589878 PECOS PAC ID: 1254750193 Enrollment ID: I20200928000619 |
Provider Name | Mariechantal Fletcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992944847 PECOS PAC ID: 9335437672 Enrollment ID: I20201015002202 |
Provider Name | Uloma C Ibe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649667940 PECOS PAC ID: 9931494614 Enrollment ID: I20210712003399 |
Provider Name | Diana Passwaters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770631996 PECOS PAC ID: 8921226747 Enrollment ID: I20210818002429 |
Provider Name | Rebecca Waksmunski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285300434 PECOS PAC ID: 4082019146 Enrollment ID: I20210827000772 |
Provider Name | Holly Nilsson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295408581 PECOS PAC ID: 8628475670 Enrollment ID: I20210920000084 |
Provider Name | Ngum Avwontom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972173904 PECOS PAC ID: 1658778881 Enrollment ID: I20210930000683 |
Provider Name | Lauren Anne Mackenzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295490225 PECOS PAC ID: 3173912961 Enrollment ID: I20211117000670 |
Provider Name | Ashley Naugler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053075655 PECOS PAC ID: 8123417862 Enrollment ID: I20211117003239 |
Provider Name | Catheline Odia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942882865 PECOS PAC ID: 6901297159 Enrollment ID: I20211222001456 |
Provider Name | Erica Allen-winslow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659533800 PECOS PAC ID: 7517289671 Enrollment ID: I20220119000232 |
Provider Name | Hannah L Ngale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386282937 PECOS PAC ID: 9537559992 Enrollment ID: I20220226000278 |
Provider Name | Bradley Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558762062 PECOS PAC ID: 8426349986 Enrollment ID: I20220322002487 |
Provider Name | Sabrina Ngong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851854244 PECOS PAC ID: 7012241854 Enrollment ID: I20220525002158 |
Provider Name | Julie Kikelomo Adeoye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821757840 PECOS PAC ID: 8224416664 Enrollment ID: I20220526000409 |
Provider Name | Margaret Mason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033610746 PECOS PAC ID: 7618238551 Enrollment ID: I20221012003813 |
Provider Name | Cynthia Safo-mensa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164011698 PECOS PAC ID: 6608283601 Enrollment ID: I20221020001635 |
Provider Name | Susanne Walkford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336432269 PECOS PAC ID: 5496994733 Enrollment ID: I20221130001329 |
Provider Name | Suzette Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386258929 PECOS PAC ID: 5597135418 Enrollment ID: I20230110000964 |
Provider Name | Mary Brennan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952468670 PECOS PAC ID: 8921901778 Enrollment ID: I20230111001145 |
Provider Name | Hillary Rosenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740345362 PECOS PAC ID: 0345463550 Enrollment ID: I20230323003152 |
Provider Name | Madhulika Lall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821009838 PECOS PAC ID: 3779559554 Enrollment ID: I20230615001852 |
Provider Name | Shadi Soufi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326250705 PECOS PAC ID: 5991895203 Enrollment ID: I20230629001530 |
Provider Name | Solange Bih |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669736237 PECOS PAC ID: 2365832417 Enrollment ID: I20231007000008 |
Provider Name | Rhodaline Eshun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134574452 PECOS PAC ID: 0446605547 Enrollment ID: I20231010001537 |
Provider Name | Anita Uche Akewusola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407633274 PECOS PAC ID: 2668821034 Enrollment ID: I20231211001428 |
Provider Name | Soukeye Niang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881159093 PECOS PAC ID: 6406287358 Enrollment ID: I20240112003296 |
Provider Name | Lazinia Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881457554 PECOS PAC ID: 9537504915 Enrollment ID: I20240226000073 |
Provider Name | Mulugeta Gebreegzi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366510778 PECOS PAC ID: 3678767001 Enrollment ID: I20240416000231 |
Tidalhealth Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-912-5640 | |
Peninsula Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Riverside Dr, Suite A 206, Salisbury, MD 21801 Phone: 410-912-5640 Fax: 410-912-5641 | |
Oc Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Dr Ste 14, Salisbury, MD 21801 Phone: 301-801-2551 | |
Daniel E Makas Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Riverside Dr, Ste 6, Salisbury, MD 21801 Phone: 410-677-3736 Fax: 410-677-0922 | |
Same As Above Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Pine Bluff Rd, Suite 12, Salisbury, MD 21801 Phone: 410-543-4301 | |
A Plus Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2324 N Zion Rd Ste 107, Salisbury, MD 21801 Phone: 301-326-2997 | |
Amy D. Walsh, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St, Suite 306, Salisbury, MD 21804 Phone: 410-677-6500 Fax: 410-677-6502 |