YELIZAVETA BAVOSA


Address: 3300 Centennial Ln, Ellicott City, MD 21042-3600
Phone: 8663892727

YELIZAVETA BAVOSA (NPI# 1053778449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053778449
Entity Type Individual
Full Name YELIZAVETA BAVOSA
Credential PA-C
Practice Address 3300 Centennial Ln
Ellicott City
MD 21042-3600
Practice Telephone 8663892727
Mailing Telephone 8663892727
Enumeration Date 2016-01-15
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0006070 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3300 CENTENNIAL LN
City ELLICOTT CITY
State MD
Zip Code 21042-3600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790069490 Stephanie Rae Gillis Nurse Practitioner 3300 Centennial Ln, Ellicott City, MD 21042-3600 2011-09-29
1821635749 Colman Ejerenwa Nurse Practitioner 3300 Centennial Ln, Ellicott City, MD 21042-3600 2019-12-10
1689148256 Lauren Appiah Nurse Practitioner 3300 Centennial Ln, Ellicott City, MD 21042-3600 2019-01-17
1568953248 Jacqueline Catherine Jones Nurse Practitioner 3300 Centennial Ln, Ellicott City, MD 21042 2018-05-29
1124539861 Cynthia N Okonkwo Nurse Practitioner 3300 Centennial Ln, Ellicott City, MD 21042 2017-10-21
1326588278 Cvs Aoc Services, L.L.C. Audiologist 3300 Centennial Ln, Ellicott City, MD 21042-3600 2017-02-26
1750826269 Robert Wade Williams Physician Assistant 3300 Centennial Ln, Ellicott City, MD 21042-3600 2016-12-20
1396140752 Felicia Talbott Pharmacist 3300 Centennial Ln, Ellicott City, MD 21042-3600 2014-10-28
1689073702 Kimberly Sheedy Pharmacist 3300 Centennial Ln, Ellicott City, MD 21042-3600 2014-08-14
1568871218 Nonso Enekwe Pharmacist 3300 Centennial Ln, Ellicott City, MD 21042-3600 2014-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861950792 Danielle Coliukos Student in an Organized Health Care Education/Training Program 3006 Fawnwood Dr, Ellicott City, MD 21042 2019-03-11
1700356110 Sung Hee Moon Acupuncturist 9005 Chevrolet Dr #4, Ellicott City, MD 21042 2018-11-28
1902375009 Sharon N Allen Speech-Language Pathologist Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 2018-11-19
1043700412 Samirawit Hailemariam Registered Nurse 9527 Liverpool Lane, Ellicott City, MD 21042 2018-05-11
1144771965 Maryland Psychotherapy Services Community/Behavioral Health 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 2016-10-17
1861851321 The Lutheran Village At Miller's Grant, Inc. Skilled Nursing Facility 9000 Fathers Legacy, Ellicott City, MD 21042 2016-02-12
1942676952 Hyoung Keun Kim Dentist 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 2015-08-13
1356743553 Cvs Pharmacy Pharmacist 3300a Centennial Lane, Ellicott City, MD 21042 2014-09-18
1821407719 Zulema Roberts Counselor 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 2014-08-05
1548681638 Better Life Pain Clinic, Pllc Physical Medicine & Rehabilitation 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 2013-12-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033728712 Smital Patel Physician Assistant 7512 Talbots Woods Ct, Ellicott City, MD 21043-6891 2020-07-28
1558466094 David John Bunnell Physician Assistant 4610 Learned Sage, Ellicott City, MD 21042 2006-09-13
1225132301 Esther Clinton Physician Assistant 2702 Snowmill Ct, Ellicott City, MD 21043-1921 2006-09-11
1710422688 Jamie Garonzik Physician Assistant 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 2016-12-30
1750826269 Robert Wade Williams Physician Assistant 3300 Centennial Ln, Ellicott City, MD 21042-3600 2016-12-20
1376915496 Lisa Degroot Physician Assistant 3570 St Johns Lane, Frederick Crossing, Ellicott City, MD 21042-4032 2015-10-28
1801267919 Connie Lee Physician Assistant 9396d Baltimore National Pike, Ellicott City, MD 21042-2802 2015-10-15
1255681631 Eden Fernandez Physician Assistant 3300 Centennial Ln, Ellicott City, MD 21042-3600 2012-09-13
1225337264 David Bart Arconti Physician Assistant 4801 Dorsey Hall Dr, Suite 226, Ellicott City, MD 21042-7766 2011-03-16
1164663605 Tamara Brigitte Patterson Physician Assistant 6021 University Blvd, Ellicott City, MD 21043-6077 2009-03-12
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Competitor

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City ELLICOTT CITY
Zip Code 21042

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Dataset Information

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.

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