| Maryland Oncology Hematology, P.a. | |
|
7350 Van Dusen Rd Ste 370 Laurel MD 20707-5231 | |
| (301) 470-1001 | |
| (301) 470-1004 |
| Full Name | Maryland Oncology Hematology, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7350 Van Dusen Rd Ste 370, Laurel, Maryland |
| Authorized Official Name and Position | Robert Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2029093301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Oncology Hematology, P.a. 11720 Beltsville Dr Ste 300 Beltsville MD 20705-3119 Ph: (240) 223-1893 | Maryland Oncology Hematology, P.a. 7350 Van Dusen Rd Ste 370 Laurel MD 20707-5231 Ph: (301) 470-1001 |
| NPI Number | 1821271032 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 2062302102 |
|---|---|
| Medicare Enrollment ID | O20071016000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821271032 | NPI | - | NPPES |
| DR6644 | Other | MD | MEDICARE RAILROAD PTAN |
| 215868 | Other | MD | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Cynthia Plate |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972579753 PECOS PAC ID: 5597731158 Enrollment ID: I20040903000981 |
| Provider Name | Deepnarayan Tiwarri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649217464 PECOS PAC ID: 0749249340 Enrollment ID: I20041008000510 |
| Provider Name | Albert J Steren |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1982753174 PECOS PAC ID: 3870542046 Enrollment ID: I20050113001069 |
| Provider Name | James F Barter |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871622936 PECOS PAC ID: 3779532940 Enrollment ID: I20050113001080 |
| Provider Name | Brian D Richards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861430910 PECOS PAC ID: 2668404427 Enrollment ID: I20050906000161 |
| Provider Name | Carolyn Hendricks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205896776 PECOS PAC ID: 4183602956 Enrollment ID: I20060215000437 |
| Provider Name | Nicholas A Demonaco |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871535245 PECOS PAC ID: 9133131311 Enrollment ID: I20060707000296 |
| Provider Name | Jose Mendoza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982648036 PECOS PAC ID: 8224131081 Enrollment ID: I20070315000191 |
| Provider Name | Vinni Juneja |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639223522 PECOS PAC ID: 9133228919 Enrollment ID: I20070619000603 |
| Provider Name | Alida M Espinoza |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033145321 PECOS PAC ID: 6103917224 Enrollment ID: I20070803000325 |
| Provider Name | Jon Kent Minford |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003881145 PECOS PAC ID: 7618867763 Enrollment ID: I20071016000318 |
| Provider Name | Edward J Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043285190 PECOS PAC ID: 1355231408 Enrollment ID: I20071017000274 |
| Provider Name | Jefferson E C Moulds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265420582 PECOS PAC ID: 0143306167 Enrollment ID: I20080331000281 |
| Provider Name | Kashif A Firozvi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568567618 PECOS PAC ID: 4587734637 Enrollment ID: I20080602000758 |
| Provider Name | Nicholas J Farrell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821291477 PECOS PAC ID: 3870666316 Enrollment ID: I20080717000049 |
| Provider Name | Eric A Oristian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154301380 PECOS PAC ID: 4587739420 Enrollment ID: I20080812000607 |
| Provider Name | Denise R Gooch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023115326 PECOS PAC ID: 1456369578 Enrollment ID: I20080815000138 |
| Provider Name | Vivek A Patil |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790942852 PECOS PAC ID: 5294893863 Enrollment ID: I20081027000135 |
| Provider Name | David J Haidak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215933221 PECOS PAC ID: 1951361377 Enrollment ID: I20090304000232 |
| Provider Name | Harminder S Sethi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275563033 PECOS PAC ID: 9234287111 Enrollment ID: I20090504000078 |
| Provider Name | Kashif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851423388 PECOS PAC ID: 2163527532 Enrollment ID: I20090814000242 |
| Provider Name | Frederick Min |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1366682429 PECOS PAC ID: 6406995885 Enrollment ID: I20091124000255 |
| Provider Name | John Michael Wallmark |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689755365 PECOS PAC ID: 5799868592 Enrollment ID: I20100917000692 |
| Provider Name | George Sotos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033290705 PECOS PAC ID: 7517040314 Enrollment ID: I20100923000069 |
| Provider Name | Ari Fishman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407963036 PECOS PAC ID: 1153462569 Enrollment ID: I20101019000819 |
| Provider Name | Thomas Bensinger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962405985 PECOS PAC ID: 4385735406 Enrollment ID: I20101119000384 |
| Provider Name | Joseph M Haggerty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013098870 PECOS PAC ID: 8426131228 Enrollment ID: I20101201001326 |
| Provider Name | Cheryl A Aylesworth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386655603 PECOS PAC ID: 1759303050 Enrollment ID: I20110329000142 |
| Provider Name | Tejaswi Sastry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013005685 PECOS PAC ID: 5799887428 Enrollment ID: I20110601000436 |
| Provider Name | Rita Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003857269 PECOS PAC ID: 5294913885 Enrollment ID: I20110630000215 |
| Provider Name | Jun Sun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306097209 PECOS PAC ID: 9537337894 Enrollment ID: I20110713000214 |
| Provider Name | Shannon C O'connor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972760452 PECOS PAC ID: 2163699695 Enrollment ID: I20120124000245 |
| Provider Name | Melissa Barksdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174927461 PECOS PAC ID: 5890018105 Enrollment ID: I20141219000718 |
| Provider Name | Carolyn Roetering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265501001 PECOS PAC ID: 8628152725 Enrollment ID: I20150306001524 |
| Provider Name | Keisha N Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750784419 PECOS PAC ID: 1052631736 Enrollment ID: I20150520001439 |
| Provider Name | Courtney D Ackerman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790919744 PECOS PAC ID: 0941443931 Enrollment ID: I20150826000304 |
| Provider Name | Tracey A Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225401227 PECOS PAC ID: 7416259338 Enrollment ID: I20160111000700 |
| Provider Name | Sabrina S Robinson Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417244559 PECOS PAC ID: 4082917315 Enrollment ID: I20160120002840 |
| Provider Name | Yoomi Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720262611 PECOS PAC ID: 6507012192 Enrollment ID: I20160516001479 |
| Provider Name | Surupa Sen Gupta |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1104138221 PECOS PAC ID: 2860773413 Enrollment ID: I20161220000551 |
| Provider Name | Renee A Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720528631 PECOS PAC ID: 9739459124 Enrollment ID: I20170718000702 |
| Provider Name | Margaret A Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538612593 PECOS PAC ID: 3274807946 Enrollment ID: I20170919001176 |
| Provider Name | Jessica A Mukherjee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407272396 PECOS PAC ID: 7315253879 Enrollment ID: I20180125002059 |
| Provider Name | Elizabeth Kelsey Rauschenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548770985 PECOS PAC ID: 9335403245 Enrollment ID: I20180501000720 |
| Provider Name | Mohit Narang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881695351 PECOS PAC ID: 1951214287 Enrollment ID: I20180621001504 |
| Provider Name | Andrew S Mener |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891084513 PECOS PAC ID: 8022385442 Enrollment ID: I20180625001731 |
| Provider Name | Sadaf Taimur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992871289 PECOS PAC ID: 8022059393 Enrollment ID: I20180705000252 |
| Provider Name | Amr Hegazi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366443152 PECOS PAC ID: 1153213848 Enrollment ID: I20180705000357 |
| Provider Name | Nouman Asif |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790947174 PECOS PAC ID: 4789860198 Enrollment ID: I20180709000705 |
| Provider Name | Danubia J Hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326426057 PECOS PAC ID: 7911253497 Enrollment ID: I20180713001643 |
| Provider Name | Metasebia T Shiferaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497225429 PECOS PAC ID: 3476886854 Enrollment ID: I20190618001601 |
| Provider Name | Syed S Mahmood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942521216 PECOS PAC ID: 4385884998 Enrollment ID: I20190628002139 |
| Provider Name | Ann E Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720054620 PECOS PAC ID: 3476648916 Enrollment ID: I20200131000856 |
| Provider Name | Umera Thebo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851637532 PECOS PAC ID: 8921303280 Enrollment ID: I20200217002593 |
| Provider Name | Caroline C Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306219688 PECOS PAC ID: 2264736602 Enrollment ID: I20200430000918 |
| Provider Name | Luqman K Dad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013136886 PECOS PAC ID: 7214105733 Enrollment ID: I20200916000222 |
| Provider Name | Benjamin B Bridges |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477694420 PECOS PAC ID: 5991805715 Enrollment ID: I20200923001479 |
| Provider Name | Adam J Goldrich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912292517 PECOS PAC ID: 9830482819 Enrollment ID: I20200923001745 |
| Provider Name | Carol K Tweed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649219155 PECOS PAC ID: 9032115415 Enrollment ID: I20200923001926 |
| Provider Name | David Edward Weng |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831154731 PECOS PAC ID: 2769494764 Enrollment ID: I20200923003129 |
| Provider Name | Jody A Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346727815 PECOS PAC ID: 9638570237 Enrollment ID: I20210701003500 |
| Provider Name | Lin Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457921140 PECOS PAC ID: 0941690358 Enrollment ID: I20211129001413 |
| Provider Name | Shruti Murali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902241649 PECOS PAC ID: 0042530305 Enrollment ID: I20220426003066 |
| Provider Name | Sarah E Regan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487017950 PECOS PAC ID: 9234424466 Enrollment ID: I20220709000300 |
| Provider Name | Tomeeka R Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578076014 PECOS PAC ID: 9133595846 Enrollment ID: I20221021000124 |
| Provider Name | Cengiz Aygun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174528798 PECOS PAC ID: 3870551369 Enrollment ID: I20221220001592 |
| Provider Name | Mary L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740907674 PECOS PAC ID: 0749650828 Enrollment ID: I20230105003150 |
| Provider Name | Shreya Sinha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295170793 PECOS PAC ID: 3173860798 Enrollment ID: I20230901000246 |
| Provider Name | Neha Bhooshan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992062681 PECOS PAC ID: 5092934679 Enrollment ID: I20230911001727 |
| Provider Name | Sara G Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841063179 PECOS PAC ID: 7911350780 Enrollment ID: I20240129000361 |
Remi Akinlade Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9208 Sumner Grove Dr, Laurel, MD 20708 Phone: 240-601-1036 | |
Laurel Main Street Pharmacy Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 667 Main St, Laurel, MD 20707 Phone: 301-317-3838 Fax: 301-317-3637 | |
Sevugan Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14205 Park Center Dr Ste 201, Laurel, MD 20707 Phone: 240-554-5112 | |
Accessible Integrative Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14205 Park Center Dr Ste 201, Laurel, MD 20707 Phone: 301-962-4278 | |
Maryland Oncology Hematology, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7140 Contee Rd Ste 3500, Laurel, MD 20707 Phone: 301-933-3216 Fax: 832-604-6868 | |
Metropolitan Cardiovascular Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 101a, Laurel, MD 20708 Phone: 301-725-0788 | |
Conquest Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12311 Snowden Woods Rd, Laurel, MD 20708 Phone: 240-603-1253 |