ETHOS HEALTH MARYLAND 3 LLC (NPI# 1003455627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003455627 |
Entity Type | Organization |
Organization Name | ETHOS HEALTH MARYLAND 3 LLC |
Practice Address |
10840 Little Patuxent Pkwy Columbia MD 21044-3115 |
Mailing Address |
1541 Se 17th St Ocala FL 34471-4607 |
Practice Telephone | 3527325590 |
Practice Fax Number | 3527320292 |
Mailing Telephone | 3527325590 |
Mailing Fax Number | 3527325590 |
Enumeration Date | 2019-12-30 |
Last Update Date | 2019-12-30 |
Authorized Official Name | JONATHAN WALKER (OWNER) |
Authorized Official Telephone | 3527325590 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
10840 LITTLE PATUXENT PKWY |
City | COLUMBIA |
State | MD |
Zip Code | 21044-3115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902916547 | Life Fitness Physical Therapy of Columbia | Physical Therapist | 10840 Little Patuxent Pkwy, Ste 402, Columbia, MD 21044-3115 | 2006-08-30 |
1386190452 | Alyssa Lauren Bitzel | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 403, Columbia, MD 21044-3115 | 2016-08-29 |
1659711729 | Ms-hc, LLC | Non-Pharmacy Dispensing Site | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2013-07-03 |
1215186465 | Gebreye W. Rufael, M.d, Pa | Clinic/Center | 10840 Little Patuxent Pkwy, 302, Columbia, MD 21044-3115 | 2008-09-11 |
1427206820 | Life Fitness Physical Therapy LLC | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 402, Columbia, MD 21044-3115 | 2008-08-28 |
1306094644 | Elsie Joel-morse | Dentist | 10840 Little Patuxent Pkwy, Ste 401, Columbia, MD 21044-3115 | 2008-08-28 |
1124227400 | Lauren Gloger Geisbert | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 403, Columbia, MD 21044-3115 | 2007-07-16 |
1124231071 | Nancy Catherine Eubanks | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 402, Columbia, MD 21044-3115 | 2007-05-08 |
1164644142 | Peter Dexheimer Pa | Preferred Provider Organization | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2007-05-02 |
1952401754 | Peter Robert Dexheimer | Chiropractor | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2006-09-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
Find all providers in zip 21044 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1104914464 | Way Station Inc | Clinic/Center | 9030 State Route 108, Columbia, MD 21045-1951 | 2006-10-11 |
1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
1811594294 | Lexington Health Inc | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-10-08 |
1912554353 | T&s Wellness LLC | Clinic/Center | 201 Columbia Mall Blvd Ste 189, Columbia, SC 29223-7550 | 2019-08-21 |
1477021541 | Aids Healthcare Foundation | Clinic/Center | 3025 Farrow Rd, Columbia, SC 29203-7001 | 2018-11-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.