DR. ALLAN JAY CHIRCUS (NPI# 1093708810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093708810 |
| Entity Type | Individual |
| Full Name | DR. ALLAN JAY CHIRCUS |
| Credential | MD |
| Practice Address |
5310 Old Court Rd Ste 201 Randallstown MD 21133-5243 |
| Practice Telephone | 4106551144 |
| Practice Fax Number | 4109227059 |
| Mailing Telephone | 4106551144 |
| Mailing Fax Number | 4109227059 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2013-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D29085 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COVENTRY | 0641413 | 01 | |
| FEP | T411 | 01 | |
| AMERICHOICE | 0400947 | 01 | |
| MDIPA OPT CHOICE MAMSI | 817268 | 01 | |
| AETNA | 0456522 | 01 | |
| BLUE CHOICE | T411 | 01 | |
| MD | 064141300 | 05 |
| Street Address |
5310 OLD COURT RD STE 201 |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961598 | Eric Y Walker | Optometrist | 5310 Old Court Rd, Ste 103, Randallstown, MD 21133-5281 | 2005-06-08 |
| 1285245084 | Adore Health and Wellness | Social Worker | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2020-08-14 |
| 1235786658 | Andrea Nicole Randall | Social Worker | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2019-08-21 |
| 1265941900 | Donna M Saunders | Psychologist | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2017-09-26 |
| 1669847281 | Kingston C. Holcomb, Certified Counseling Associates, Inc. | Community/Behavioral Health | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2015-12-08 |
| 1811386626 | Steven Markow, Dds, PC | Clinic/Center | 5310 Old Court Rd, Suite 202, Randallstown, MD 21133-5243 | 2015-01-16 |
| 1023445103 | Raymonda Alfreda Adams | Social Worker | 5310 Old Court Rd, Suite 308 Office 1, Randallstown, MD 21133-5243 | 2013-10-03 |
| 1487937736 | Kingston Rashid Holcomb | Massage Therapist | 5310 Old Court Rd, Suite 308, Randallstown, MD 21133-5243 | 2011-09-23 |
| 1780977496 | Counselingworks LLC | Social Worker | 5310 Old Court Rd, Suite 308, Randallstown, MD 21133-5243 | 2011-05-27 |
| 1972802890 | Temitope S Williams | Nurse Practitioner | 5310 Old Court Rd, Randallstown, MD 21133-5243 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992824486 | Injury Treatment Center of Maryland,llc | General Practice | 8660 Liberty Rd, Randallstown, MD 21133-4707 | 2007-03-28 |
| 1740288620 | Mohammad S Malik | General Practice | 8608 Liberty Rd, Randallstown, MD 21133-4707 | 2005-07-13 |
| 1518902444 | Malinee Yunyongying | General Practice | 5400 Old Court Rd, Suite 201, Randallstown, MD 21133 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490950 | Arlene Elizabeth George | General Practice | 1500 W Perimeter Rd Ste 4350, Jb Andrews, MD 20762-6604 | 2020-09-04 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1548889447 | Canary Doctor LLC | General Practice | 8904 Maxwell Dr, Potomac, MD 20854-3124 | 2020-04-10 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1881239838 | Avicention LLC | General Practice | 350c Fortune Ter # 227, Potomac, MD 20854-2980 | 2019-11-14 |
| 1972148963 | My Primary Care | General Practice | 826 Washington Rd Ste 110, Westminster, MD 21157-5779 | 2019-11-13 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1720623242 | Assured Access Medical Associates Inc. | General Practice | 7221 Hanover Pkwy Ste C, Greenbelt, MD 20770-2022 | 2019-11-07 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1861058935 | Revive Treatment Center Inc | General Practice | 1133 E West Hwy Apt 1515w, Silver Spring, MD 20910-6833 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on DR. ALLAN JAY CHIRCUS.
| 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.