TRACY A. LAZARONY-RUDD (NPI# 1104885805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104885805 |
| Entity Type | Individual |
| Full Name | TRACY A. LAZARONY-RUDD |
| Credential | PA-C |
| Practice Address |
995 Hospitality Way Aberdeen MD 21001-1755 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 4103067880 |
| Practice Fax Number | 4103067881 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0002329 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
995 HOSPITALITY WAY |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839499 | Nicholas Francis Wunder | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-02-10 |
| 1639504947 | Kimberly Lynn Harmon | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2013-09-05 |
| 1376808667 | Smita Massey-gomez | Internal Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2012-07-12 |
| 1215245485 | Jennifer Wylie Watts | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2010-09-21 |
| 1093034811 | Patient First Maryland Medical Group Pllc | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001 | 2010-05-18 |
| 1831415868 | Maryland Medical Group, Pllc | Non-Pharmacy Dispensing Site | 995 Hospitality Way, Aberdeen, MD 21001 | 2010-04-15 |
| 1518002484 | Julianne Ina Davis | Physician Assistant | 995 Hospitality Way, Patient First, Aberdeen, MD 21001-1755 | 2007-02-20 |
| 1063504264 | Oliver Schoonmaker Thresher Jr. | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-09-28 |
| 1104840651 | Jason M Fay | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-07-27 |
| 1174552012 | Bruce C Kinzinger | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043455 | Amanda Jennifer Lloyd | Physician Assistant | 147 Andover Ln, Aberdeen, NJ 07747-1230 | 2019-10-04 |
| 1730109547 | Percy E Golson | Physician Assistant | 815 First Avenue Se, Aberdeen, SD 57401 | 2006-07-21 |
| 1528031549 | Sean Christopher Kenny | Physician Assistant | 2301 8th Ave Ne Ste 225, Aberdeen, SD 57401-3253 | 2006-02-09 |
| 1730161399 | Debra S Mckay | Physician Assistant | 306 N Main, Aberdeen, ID 83210 | 2005-11-18 |
| 1619959236 | Wayne L Washenberger | Physician Assistant | 701 8th Ave Nw Ste A, Aberdeen, SD 57401-1865 | 2005-11-18 |
| 1164980108 | Christine Theresa De Carlo | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520 | 2019-03-08 |
| 1275000994 | Rebecca Leilani Olbrys | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2018-10-31 |
| 1427537448 | Breanne Murray | Physician Assistant | 1211 Skyview Dr, Aberdeen, WA 98520-1099 | 2018-08-09 |
| 1386136158 | Katherine Fritz | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520 | 2018-06-06 |
| 1659883627 | Sarah Elizabeth Hudson | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520 | 2017-10-31 |
| Find all providers in ABERDEEN | ||||
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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.