RELIANCE HEALTHCARE, LLC (NPI# 1073043824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073043824 |
| Entity Type | Organization |
| Organization Name | RELIANCE HEALTHCARE, LLC |
| Practice Address |
300 E Pulaski Hwy Elkton MD 21921-6737 |
| Mailing Address |
Po Box 188 Bear DE 19701-0188 |
| Practice Telephone | 4103987984 |
| Practice Fax Number | 4103924527 |
| Mailing Telephone | 4103989874 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | ZEBUN NISA (MANAGING MEMBER) |
| Authorized Official Telephone | 4439075756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | D64019 | MD | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | D64083 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
300 E PULASKI HWY |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-6737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053307496 | Mohamed Ahmed | Anesthesiology | 300 E Pulaski Hwy, Suit 106, Elkton, MD 21921-6435 | 2005-09-21 |
| 1356884688 | Eric Souder | Clinic/Center | 300 E Pulaski Hwy, Elkton, MD 21921-6737 | 2016-11-17 |
| 1225588569 | Mid-atlantic Institute of Venous and Lymphatic Medicine LLC | Internal Medicine | 300 E Pulaski Hwy, Suite 101b, Elkton, MD 21921-6737 | 2016-10-11 |
| 1255880480 | Joan Kershaw | Nurse Practitioner | 300 E Pulaski Hwy, Elkton, MD 21921-6737 | 2016-09-29 |
| 1780036996 | Maryland Surgical LLC | Specialist | 300 E Pulaski Hwy, Elkton, MD 21921-6737 | 2016-07-12 |
| 1548629520 | Empire Medical LLC | Specialist | 300 E Pulaski Hwy, Elkton, MD 21921-6737 | 2016-02-18 |
| 1386022754 | Phoenix Behavioral Health Services, Inc | Counselor | 300 E Pulaski Hwy, Elkton, MD 21921-6737 | 2015-05-18 |
| 1205229978 | Fast Care Medical Aid Unit, LLC | Clinic/Center | 300 E Pulaski Hwy, Elkton, MD 21921-6737 | 2015-03-05 |
| 1558762906 | Surgical Associates of Maryland | Specialist | 300 E Pulaski Hwy, Suite 122, Elkton, MD 21921-6737 | 2014-09-04 |
| 1972902641 | Just Breathe, LLC | Specialist | 300 E Pulaski Hwy, Suite 106, Elkton, MD 21921-6737 | 2014-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396087847 | Jason Kyle Federline | Family Medicine | 111 W High St Ste 314, Elkton, MD 21921-8617 | 2013-03-22 |
| 1457543316 | Richard E Lockard Md PC | Family Medicine | 6 N Main Street, Elkton, MI 48731 | 2007-08-15 |
| 1376742536 | Elzbieta Maria Mroz | Family Medicine | 111 W High St Ste 214, Elkton, MD 21921-8611 | 2007-07-17 |
| 1336271162 | Scheurer Hospital | Family Medicine | 4970 Railroad Street, Elkton, MI 48731 | 2007-03-09 |
| 1346254760 | Rolando Najera, M.d., P.a. | Family Medicine | 138 Cathedral St, Elkton, MD 21921-5562 | 2006-07-28 |
| 1275556854 | Robert Anthony Monteleone | Family Medicine | 111 W. High St., Suite 214, Elkton, MD 21921 | 2006-07-25 |
| 1699794727 | Sheelmohan S Sachdev | Family Medicine | 118 North St, Ste 38, Elkton, MD 21921 | 2006-07-19 |
| 1922041862 | Edwin David Gar-el, M.d. | Family Medicine | 304-306 North Street, Suite 3, Elkton, MD 21921 | 2006-06-14 |
| 1326093923 | Jason James King | Family Medicine | 4970 Railroad St, Elkton, MI 48731 | 2006-05-23 |
| 1710943956 | Renee Lynn Perkis | Family Medicine | 349 E Pulaski Hwy, Elkton, MD 21921-6415 | 2006-04-25 |
| Find all providers in ELKTON | ||||
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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.