MARY SPANGLER (NPI# 1073519963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073519963 |
| Entity Type | Individual |
| Full Name | MARY SPANGLER |
| Credential | CRNP |
| Practice Address |
6095 Marshalee Dr Elkridge MD 21075-6053 |
| Mailing Address |
7611 Donerail Ct Chesapeake Beach MD 20732-4116 |
| Practice Telephone | 3013793500 |
| Mailing Telephone | 3106533554 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R150276 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275959256 | Mary Spangler | Nurse Practitioner | 6400 Shelby View Dr, Memphis, TN 38134-7659 | 2014-03-13 |
| Street Address |
6095 MARSHALEE DR |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275077083 | Susane Njomo | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-12-13 |
| 1083158042 | Kristopher Derbyshire | Nurse Practitioner | 6095 Marshalee Dr, United Health Group/optum, Elkridge, MD 21075-6053 | 2016-12-10 |
| 1023550308 | Angela Erin Knotts | Nurse Practitioner | 6095 Marshalee Dr, Suite 100, Elkridge, MD 21075-6053 | 2016-11-17 |
| 1235684325 | Traci Stokes | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-08-18 |
| 1164879904 | Illya Payne | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-05-23 |
| 1922461227 | Olasunmbo I Feyisetan | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075 | 2016-04-04 |
| 1457661449 | Jennifer Macadam | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2010-10-08 |
| 1366772964 | Jakarta A Blakeney | Nurse Practitioner | 6095 Marshalee Dr, Ste 100, Elkridge, MD 21075-6053 | 2010-01-04 |
| 1043540834 | Regina Clare Birch | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2009-12-30 |
| 1528396009 | Susan Schurman | Nurse Practitioner | 6095 Marshalee Dr, United Healthcare/evercare, Elkridge, MD 21075-6053 | 2009-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083158042 | Kristopher Derbyshire | Nurse Practitioner | 6095 Marshalee Dr, United Health Group/optum, Elkridge, MD 21075-6053 | 2016-12-10 |
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| 1225653611 | Zynith Health Care & Associates | Nurse Practitioner | 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 | 2020-06-11 |
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| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
| 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.