JEROME J UPCHURCH (NPI# 1023557618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023557618 |
| Entity Type | Individual |
| Full Name | JEROME J UPCHURCH |
| Credential | SA-C, CSFA |
| Practice Address |
15811 Chagall Ter North Potomac MD 20878-3461 |
| Practice Telephone | 2155182138 |
| Mailing Telephone | 2155182138 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
15811 CHAGALL TER |
| City | NORTH POTOMAC |
| State | MD |
| Zip Code | 20878-3461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1891253621 | Patricia Jeanette Engel | Speech-Language Pathologist | 851 Quince Orchard Blvd., Brown Station Es, Gaithersburg, MD 20878 | 2019-03-11 |
| 1093270340 | Adeola Atinuke Aremoh | Specialist | 652 Center Point Way, Gaithersburg, MD 20878 | 2019-01-31 |
| 1932606175 | Agnes H. Donahue | Dentist | 7 Melmark Ct, Gaithersburg, MD 20878 | 2018-04-12 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366958654 | Pcd Orthodontics, LLC | Dentist | 11904-d Darnestown Road, North Potomac, MD 20878 | 2017-12-21 |
| 1235677139 | Gaithersburg Anesthesia, LLC | Anesthesiology | 900 Wind River Lane Ste 106, Gaithersburg, MD 20878 | 2017-02-10 |
| 1356884209 | Meaghan Hitt | Behavioral Analyst | 11333 Brandy Hall Ln, North Potomac, MD 20878 | 2016-11-27 |
| 1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
| 1891243390 | Darvin Joy | Pharmacist | 704 Quince Orchard Rd, Gaithersburg, MD 20878 | 2016-09-14 |
| Find all providers in zip 20878 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH POTOMAC |
| Zip Code | 20878 |
Please comment or provide details below to improve the information on JEROME J UPCHURCH.
| 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.