GRETCHEN H SHAPERO (NPI# 1073514295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073514295 |
| Entity Type | Individual |
| Full Name | GRETCHEN H SHAPERO |
| Credential | PA |
| Practice Address |
11085 Little Patuxent Pkwy Ste 103 Columbia MD 21044-2983 |
| Practice Telephone | 4109970580 |
| Practice Fax Number | 4107408587 |
| Mailing Telephone | 4109970580 |
| Mailing Fax Number | 4107408587 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C00730 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1251004 | 05 |
| Street Address |
11085 LITTLE PATUXENT PKWY STE 103 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750541 | Francis Chuidian | Internal Medicine | 11085 Little Patuxent Pkwy, Suite 202, Columbia, MD 21044-2983 | 2005-06-16 |
| 1851708150 | Jodi Yatto | Speech-Language Pathologist | 11085 Little Patuxent Pkwy, Suite 101, Columbia, MD 21044-2983 | 2014-07-18 |
| 1568730414 | Columbia Patient Care Associates, LLC | Internal Medicine | 11085 Little Patuxent Pkwy, Medical Arts Bldg - Ste L001, Columbia, MD 21044-2983 | 2011-12-07 |
| 1730405283 | Jessica Ann Cronin | Anesthesiology | 11085 Little Patuxent Pkwy, Medical Arts Bldg, 004, Columbia, MD 21044-2983 | 2010-04-08 |
| 1457516940 | Physical Therapy Partners, Incorporated | Clinic/Center | 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044-2983 | 2008-07-23 |
| 1407034390 | Wendy M. Jackson | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-04 |
| 1235317249 | Alan Goldstein | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-01 |
| 1053508598 | Sheetal Patel | Physical Therapist | 11085 Little Patuxent Pkwy, Physical Therapy Partners, Suite 207, Columbia, MD 21044-2983 | 2007-09-28 |
| 1154512549 | Zeenat Nadeem Hashmi | Family Medicine | 11085 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2983 | 2007-08-09 |
| 1578771606 | Jo-hsin Chen | Psychiatry & Neurology | 11085 Little Patuxent Pkwy, Suite 212, Columbia, MD 21044-2983 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1629434279 | Jennifer Templeton | Physician Assistant | 110 Highland Center Drive, Columbia, SC 29203 | 2016-01-12 |
| 1184023871 | Candace Parker Fleming | Physician Assistant | 109 W Legion Ave, Columbia, IL 62236-2341 | 2014-08-19 |
| 1194147470 | Frederick Parker | Physician Assistant | 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 | 2014-01-06 |
| 1780999037 | Spectrum Pain Clinics, Inc | Physician Assistant | 230 East James Campbell Blvd, Suite 102, Columbia, TN 38401 | 2010-08-11 |
| 1770728834 | Joan Chandler Hornick | Physician Assistant | 2 Medical Park Rd Ste 404, Columbia, SC 29203-6875 | 2008-12-03 |
| 1164683926 | Kimberly Shirk | Physician Assistant | 612 Saint Andrews Rd Ste 2, Columbia, SC 29210-5120 | 2008-06-24 |
| 1295869485 | Karen Traynham | Physician Assistant | 303 N Keene St Ste 301, Columbia, MO 65201-7193 | 2007-03-16 |
| 1508926817 | Nina D Garcia | Physician Assistant | 8850 Columbia 100 Pkwy Ste 316, Columbia, MD 21045-2377 | 2006-12-11 |
| 1467526418 | Tamenia Bluford Bluford | Physician Assistant | 4 N Bay Xing, Columbia, SC 29229-7507 | 2006-11-20 |
| Find all providers in COLUMBIA | ||||
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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.