Upper Chesapeake Primary Care,llc | |
650 Mchenry Rd Ste 3200 Aberdeen MD 21001-2681 | |
(443) 843-6262 | |
(443) 843-6264 |
Full Name | Upper Chesapeake Primary Care,llc |
---|---|
Speciality | Internal Medicine |
Location | 650 Mchenry Rd Ste 3200, Aberdeen, Maryland |
Authorized Official Name and Position | Marcus Thomas Augustus Priolo (CFO) |
Authorized Official Contact | 4436433340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upper Chesapeake Primary Care,llc 520 Upper Chesapeake Dr Suite 405 Bel Air MD 21014-4339 Ph: (443) 643-3347 | Upper Chesapeake Primary Care,llc 650 Mchenry Rd Ste 3200 Aberdeen MD 21001-2681 Ph: (443) 843-6262 |
NPI Number | 1093902793 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 03/11/2024 |
Medicare PECOS PAC ID | 3476637737 |
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Medicare Enrollment ID | O20080225000747 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093902793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fermin Barrueto |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548248818 PECOS PAC ID: 3173416179 Enrollment ID: I20040204000389 |
Provider Name | Robert E Rapp |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720081003 PECOS PAC ID: 1052394590 Enrollment ID: I20040608000210 |
Provider Name | Mary B Martello |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669465076 PECOS PAC ID: 4385629765 Enrollment ID: I20040621000790 |
Provider Name | Shannon K Idzik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467445924 PECOS PAC ID: 4880666791 Enrollment ID: I20040811000452 |
Provider Name | Vijay Abhyankar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225033806 PECOS PAC ID: 7810944733 Enrollment ID: I20050404000333 |
Provider Name | Suzanne P Okeefe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740229210 PECOS PAC ID: 0042246860 Enrollment ID: I20050713000543 |
Provider Name | Victoria A Blucher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831354828 PECOS PAC ID: 9032271481 Enrollment ID: I20081219000212 |
Provider Name | Robert J Ishak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295727790 PECOS PAC ID: 3173419967 Enrollment ID: I20090528000312 |
Provider Name | Nancy J Piercy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114919115 PECOS PAC ID: 5890847818 Enrollment ID: I20090722000071 |
Provider Name | Regina Toal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003100652 PECOS PAC ID: 9739354150 Enrollment ID: I20111214000539 |
Provider Name | Carol A Stauffer Munekata |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669689881 PECOS PAC ID: 9537322193 Enrollment ID: I20120517000255 |
Provider Name | Karen Deborah Mcfaul-glover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891132460 PECOS PAC ID: 1456595412 Enrollment ID: I20130913000504 |
Provider Name | Leonardo Girio-herrera |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1982836904 PECOS PAC ID: 5193994036 Enrollment ID: I20150610001015 |
Provider Name | Amy L Theriault |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295107977 PECOS PAC ID: 6204139793 Enrollment ID: I20160115001087 |
Provider Name | Barbara L Donithan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346609161 PECOS PAC ID: 6709185119 Enrollment ID: I20160505001008 |
Provider Name | Victoria Donaldson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346548294 PECOS PAC ID: 1254519291 Enrollment ID: I20160919000653 |
Provider Name | Geneva Randolph Cason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063787422 PECOS PAC ID: 2264695220 Enrollment ID: I20170516000714 |
Provider Name | Robbin Elaine Witkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740731827 PECOS PAC ID: 1850668146 Enrollment ID: I20170516001881 |
Provider Name | Marcy R Kirsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891215281 PECOS PAC ID: 7810256476 Enrollment ID: I20180108000229 |
Provider Name | Jessica A Scampone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326536418 PECOS PAC ID: 5698022101 Enrollment ID: I20180716000299 |
Provider Name | Rashidah Francisco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033605621 PECOS PAC ID: 8820349343 Enrollment ID: I20180924000173 |
Provider Name | Ashleigh Walter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912544511 PECOS PAC ID: 1557782059 Enrollment ID: I20200610000504 |
Provider Name | Nika Bitsko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083051999 PECOS PAC ID: 3577786052 Enrollment ID: I20210921000669 |
Provider Name | Hollie E Cacace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659000917 PECOS PAC ID: 7012384134 Enrollment ID: I20221102002648 |
Provider Name | Samantha Vogt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720716046 PECOS PAC ID: 4880062744 Enrollment ID: I20221125000547 |
Provider Name | Deep Mahapatra |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1053874115 PECOS PAC ID: 9931564416 Enrollment ID: I20230505001790 |
Provider Name | Tatyauna Lanier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770298325 PECOS PAC ID: 7113385022 Enrollment ID: I20230626002025 |
Provider Name | Hamidah Khalilah Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700414190 PECOS PAC ID: 3375997265 Enrollment ID: I20230926003388 |
Provider Name | Tyler Andrew Coakley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679347546 PECOS PAC ID: 9537510318 Enrollment ID: I20240105000859 |
Provider Name | Riley C Scheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730948761 PECOS PAC ID: 8628419017 Enrollment ID: I20240516001612 |
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