EMILY T JERVIS (NPI# 1073167946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073167946 |
| Entity Type | Individual |
| Full Name | EMILY T JERVIS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
9801 Georgia Ave Ste 224 Silver Spring MD 20902-5276 |
| Practice Telephone | 3019539800 |
| Mailing Telephone | 3015939800 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0007091 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9801 GEORGIA AVE STE 224 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952844706 | Ibukun Agbede | Nurse Practitioner | 9801 Georgia Ave Ste 224, Silver Spring, MD 20902-5276 | 2016-11-28 |
| 1649758954 | Kelly Elizabeth Harley | Nurse Practitioner | 9801 Georgia Ave Ste 224, Silver Spring, MD 20902-5276 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1427428960 | Chanise Isaac | Physician Assistant | 13832 Outlet Dr, Silver Spring, MD 20904-4970 | 2015-09-27 |
| 1306249180 | Kevin Roth Roeum | Physician Assistant | 13254 Copland Ct, Silver Spring, MD 20904-7105 | 2014-10-07 |
| 1831445402 | Leroy Grant | Physician Assistant | 12215 Dalewood Dr, Silver Spring, MD 20902-1119 | 2012-07-31 |
| 1235407370 | Grace A Kawesa | Physician Assistant | 12903 Allerton Ln, Silver Spring, MD 20904-3106 | 2011-12-04 |
| 1851340186 | Karl Radley Katterjohn | Physician Assistant | 9039 Sligo Creek Pkwy, Apt 1401, Silver Spring, MD 20901-3301 | 2006-05-05 |
| 1225693864 | Ava Shahdadian | Physician Assistant | 2415 Musgrove Rd, Silver Spring, MD 20904-5202 | 2019-05-09 |
| 1568915015 | Jaynah Mistry | Physician Assistant | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2016-08-02 |
| 1972958239 | Juliana Bursic Mancini | Physician Assistant | 2415 Musgrove Rd Ste 105, Silver Spring, MD 20904-5224 | 2016-04-25 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20902 |
Please comment or provide details below to improve the information on EMILY T JERVIS.
| 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.