MITCHEL EH SICARD (NPI# 1063892503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063892503 |
Entity Type | Individual |
Full Name | MITCHEL EH SICARD |
Credential | CSA |
Practice Address |
5257 Buckeystown Pike #244 Frederick MD 21704-7535 |
Mailing Address |
2904 White Oak St Highlands Ranch CO 80129-4641 |
Practice Telephone | 2405435182 |
Mailing Telephone | 2405435182 |
Enumeration Date | 2015-05-30 |
Last Update Date | 2016-07-29 |
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 |
Street Address |
5257 BUCKEYSTOWN PIKE #244 |
City | FREDERICK |
State | MD |
Zip Code | 21704-7535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124276852 | C. Parker | Psychologist | 5257 Buckeystown Pike, Box 478, Frederick, MD 21704-7535 | 2008-09-06 |
1497368666 | Samantha Ross, LLC | Counselor | 5257 Buckeystown Pike, Ste 300, Frederick, MD 21704-7535 | 2020-08-28 |
1790168250 | Sicard Surgical Solutions | Specialist/Technologist, Other | 5257 Buckeystown Pike, #244, Frederick, MD 21704-7535 | 2015-07-02 |
1346502028 | Parker Psychological Services, Inc. | Community/Behavioral Health | 5257 Buckeystown Pike, Box 478, Frederick, MD 21704-7535 | 2012-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
Find all providers in zip 21704 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972599678 | Michael D Kennedy | Physician Assistant | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2005-09-27 |
1295250728 | Laura York | Physician Assistant | 81 Thomas Johnson Ct Ste A, Frederick, MD 21702-4674 | 2017-08-05 |
1275792095 | Rommie Navylia Abele | Physician Assistant | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2008-06-06 |
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 |
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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.