JESSICA WERTZ (NPI# 1104080050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104080050 |
| Entity Type | Individual |
| Full Name | JESSICA WERTZ |
| Credential | DO |
| Practice Address |
844 Washington Rd Suite 102 Westminster MD 21157-6664 |
| Practice Telephone | 4108710088 |
| Practice Fax Number | 4108710083 |
| Mailing Telephone | 4108710088 |
| Mailing Fax Number | 4108710083 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
H0076278 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 068733200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
| 1386065373 | Jessica S Wertz | Psychologist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2013-12-18 |
| Street Address |
844 WASHINGTON RD SUITE 102 |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518951995 | Maryland Sportscare & Rehab LLC | Speech-Language Pathologist | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2005-08-31 |
| 1023634946 | Kiersten Manuelle Miranda | Advanced Practice Midwife | 844 Washington Rd, Westminster, MD 21157-6664 | 2020-06-17 |
| 1225580848 | Veronika Humicsko | Physical Therapist | 844 Washington Rd, Ste 101, Westminster, MD 21157-6664 | 2016-10-31 |
| 1699224410 | Kristina Cole | Physical Therapist | 844 Washington Rd, Ste 101, Westminster, MD 21157-6664 | 2016-09-22 |
| 1811347149 | Murphy Mark Luatua | Specialist/Technologist | 844 Washington Rd, Suite 101, Westminster, MD 21157-6664 | 2016-06-17 |
| 1255799870 | Maryland Sportscare & Rehab, LLC | Occupational Therapist | 844 Washington Rd, Ste 102, Westminster, MD 21157-6664 | 2016-02-10 |
| 1720445174 | Maryland Sportscare & Rehab, LLC | Occupational Therapist | 844 Washington Rd, Ste 101, Westminster, MD 21157-6664 | 2016-01-15 |
| 1295122687 | Joelle Tanguy Eyster | Physician Assistant | 844 Washington Rd, Suite 302, Westminster, MD 21157-6664 | 2015-04-23 |
| 1275930976 | Cynthia German | Occupational Therapist | 844 Washington Rd, Suite 101, Westminster, MD 21157-6664 | 2014-11-24 |
| 1275940090 | Carroll Health Group, LLC | Orthopaedic Surgery | 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677518 | Jonathan Damon Lawless | Family Medicine | 11120 New Hampshire Ave Ste 411, Silver Spring, MD 20904-2620 | 2012-04-09 |
| 1467644807 | Anne K. Rettig | Family Medicine | 12111 Darnestown Rd, Gaithersburg, MD 20878-2205 | 2007-08-09 |
| 1881765170 | Christian Nnamdi Nwankwo Jr. | Family Medicine | 17 Firstfield Rd, 2nd Floor, Gaithersburg, MD 20878-1774 | 2006-11-10 |
| 1265529762 | Christopher Edward Jonas | Family Medicine | 4301 Jones Bridge Rd Dept Of, Bethesda, MD 20814-4712 | 2006-10-06 |
| 1962448902 | Shahab Z Siddiqui | Family Medicine | 324 E Antietam St Ste 305, Hagerstown, MD 21740-5768 | 2006-06-20 |
| 1649256496 | John L Ferrell IIi | Family Medicine | 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 | 2005-12-22 |
| 1821502709 | Phillip Michael Morgan | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-11-29 |
| 1124552302 | Phil Mor Fit | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-04-14 |
| 1083069348 | Miranda Gordon-zigel | Family Medicine | 1420 Key Hwy, Baltimore, MD 21230-5546 | 2016-04-25 |
| 1245609494 | University of Maryland Athletics-college Park | Family Medicine | 379 Field House Dr, College Park, MD 20742-0001 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.