MR. JACOB MANUEL AJA (NPI# 1073794012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073794012 |
| Entity Type | Individual |
| Full Name | MR. JACOB MANUEL AJA |
| Credential | PA-C |
| Practice Address |
2000 Medical Pkwy Suite 101 Annapolis MD 21401-3742 |
| Practice Telephone | 4102958900 |
| Practice Fax Number | 4102804701 |
| Mailing Telephone | 4102958900 |
| Mailing Fax Number | 4102804701 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2014-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA030518 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C03809 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 MEDICAL PKWY SUITE 101 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132945 | Mark L. Repka | Obstetrics & Gynecology | 2000 Medical Pkwy, Ste 304, Annapolis, MD 21401-3745 | 2005-05-27 |
| 1134733124 | Kaitlyn Elizabeth Schwartz | Occupational Therapist | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2020-09-07 |
| 1316589013 | William Ferrante | Physical Therapist | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2019-10-14 |
| 1760035711 | Olimatu Iye Habib | Nurse Practitioner | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2019-07-18 |
| 1659930071 | Jennifer Leigh Degrange | Physical Therapy Assistant | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2019-06-10 |
| 1205398773 | Eliza M Antoshak | Speech-Language Pathologist | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2019-04-03 |
| 1669918157 | Cindy Strauss | Physical Therapist | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2017-01-09 |
| 1578006508 | Keir Thelander | Surgery | 2000 Medical Pkwy, Belcher Pavilion Suite 600, Annapolis, MD 21401-3742 | 2016-11-22 |
| 1356890370 | Anne Arundel Physician Group, LLC | Dietitian, Registered | 2000 Medical Pkwy, Suite 600, Annapolis, MD 21401-3742 | 2016-10-03 |
| 1740734599 | Lynn Zepp | Dietitian, Registered | 2000 Medical Pkwy, Belcher Pavilion, Suite 605, Annapolis, MD 21401-3742 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700032125 | Frank Peter Fader | Physician Assistant | 2007 Tidewater Colony Dr Ste 1a, Annapolis, MD 21401-2102 | 2008-08-18 |
| 1912307646 | Virginia T Lobach | Physician Assistant | 2000 Medical Pkwy, Annapolis, MD 21401-3742 | 2014-08-29 |
| 1215264494 | Jennie Marie Dulin | Physician Assistant | 2002 Medical Pkwy, Suite 630, Annapolis, MD 21401-3046 | 2009-11-10 |
| 1396865176 | Frank Michael Delosso | Physician Assistant | 2002 Medical Pkwy, Suite 660, Annapolis, MD 21401-3046 | 2007-03-29 |
| 1659428498 | Kelly J Viands | Physician Assistant | 2002 Medical Parkway, Suite 430, Annapolis, MD 21401-3263 | 2007-01-04 |
| 1104888007 | Jason A Meyer | Physician Assistant | 2002 Medical Pkwy, Suite 520, Annapolis, MD 21401-3046 | 2006-04-05 |
| 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 |
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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.