ANNAPOLIS RHEUMATOLOGY (NPI# 1104188424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104188424 |
| Entity Type | Organization |
| Organization Name | ANNAPOLIS RHEUMATOLOGY |
| Practice Address |
2002 Medical Pkwy Suite 660 Annapolis MD 21401-3046 |
| Practice Telephone | 4109891121 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | ASHOK JACOB (MANGING DIRECTOR) |
| Authorized Official Telephone | 3013673235 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
2002 MEDICAL PKWY SUITE 660 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448953 | Ayanna L James | Obstetrics & Gynecology | 2002 Medical Pkwy, Suite 635, Annapolis, MD 21401-3046 | 2005-06-28 |
| 1336611466 | Lauren Mason | Social Worker | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-12-31 |
| 1184131542 | Amanda Nicole Minnitte | Physical Therapy Assistant | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-01-08 |
| 1255878526 | Maryland Medicinal LLC | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, Suite 150, Annapolis, MD 21401-3046 | 2017-01-25 |
| 1669917993 | Back To Fit Inc. | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, 150, Annapolis, MD 21401-3046 | 2016-12-22 |
| 1821549528 | Anne Arundel Physician Group, LLC | Family Medicine | 2002 Medical Pkwy, Suite 460, Annapolis, MD 21401-3046 | 2016-10-18 |
| 1114372497 | Anne Arundel Physician Group, LLC | Clinical Neuropsychologist | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2016-04-25 |
| 1487040036 | Gaurav Srivastava | Ophthalmology | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2015-04-10 |
| 1164828679 | Med-park LLC | Pharmacy | 2002 Medical Pkwy, Ste 170, Annapolis, MD 21401-3046 | 2014-11-10 |
| 1992147631 | Zachary Scott La Fratta | Audiologist | 2002 Medical Pkwy, Suite 230 Sajak Building, Annapolis, MD 21401-3046 | 2013-07-23 |
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| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588807861 | Mariam Ameri | Internal Medicine | 166 Defense Hwy, Suite 200, Annapolis, MD 21401-8919 | 2009-04-15 |
| 1467676759 | Ashok Cherian Jacob | Internal Medicine | 2002 Medical Pkwy, Ste 660, Annapolis, MD 21401-3046 | 2007-04-11 |
| 1205879111 | Susan Marie Berger | Internal Medicine | 128 Lubrano Dr, Suite 201, Annapolis, MD 21401-7028 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1184027922 | Audrey Chan Ho | Internal Medicine | 10409 Shepherds Crook Ct, Potomac, MD 20854-1902 | 2014-10-08 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1578994547 | Rheumatology Consultants, Dr. Zhang | Internal Medicine | 9031 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2013-12-02 |
| 1639502313 | Nasseri Clinic of Arthritic & Rheumatic Diseases | Internal Medicine | 6821 Reisterstown Rd # 106, Baltimore, MD 21215-1431 | 2013-08-16 |
| 1407289697 | Nasseri Clinic of Arthritic & Rheumatic Diseases | Internal Medicine | 203 Hospital Dr Ste 300, Glen Burnie, MD 21061-6906 | 2013-08-12 |
| 1144563164 | Dana Dominique Direnzo | Internal Medicine | 5501 Hopkins Bayview Cir Bldg Suite1b1, Baltimore, MD 21224-6821 | 2013-03-27 |
| 1295071264 | Sarah Lynn Cochran | Internal Medicine | 10105 Baltimore Ave Apt 3202, College Park, MD 20740-4230 | 2012-12-20 |
| 1760757355 | Vicki Star | Internal Medicine | 9805 Woodford Rd, Potomac, MD 20854-5033 | 2012-03-14 |
| 1326312364 | Jq Associates, LLC | Internal Medicine | 2542 Quarry Lake Dr, Ste 105, Baltimore, MD 21209-3759 | 2012-03-07 |
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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.