Sage Health Maryland Llc | |
6660 Security Blvd Woodlawn MD 21207-4012 | |
(443) 380-0552 | |
Not Available |
Full Name | Sage Health Maryland Llc |
---|---|
Speciality | Clinic/Center |
Location | 6660 Security Blvd, Woodlawn, Maryland |
Authorized Official Name and Position | John Haskell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6159889771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sage Health Maryland Llc 501 Union St Suite 545 Pmb 82739 Nashville TN 37219-1876 Ph: () - | Sage Health Maryland Llc 6660 Security Blvd Woodlawn MD 21207-4012 Ph: (443) 380-0552 |
NPI Number | 1770294324 |
---|---|
Provider Enumeration Date | 12/05/2022 |
Last Update Date | 08/01/2024 |
Medicare PECOS PAC ID | 7012368251 |
---|---|
Medicare Enrollment ID | O20240111003307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770294324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Cynthia D Broadnax |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710971221 PECOS PAC ID: 8022051671 Enrollment ID: I20050606000541 |
Provider Name | Walid Barbour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578744009 PECOS PAC ID: 1355415449 Enrollment ID: I20080815000494 |
Provider Name | Michael R Jablonover |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265564066 PECOS PAC ID: 9436230174 Enrollment ID: I20151117003132 |
Provider Name | Amit Singh Babra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275185159 PECOS PAC ID: 3678800067 Enrollment ID: I20220906001993 |
Provider Name | Allison Schuh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497313118 PECOS PAC ID: 4385973205 Enrollment ID: I20240201004549 |
Provider Name | Danielle De Merieux |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316366925 PECOS PAC ID: 4981993136 Enrollment ID: I20240221003179 |