LEEANN GORMAN (NPI# 1174008650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174008650 |
Entity Type | Individual |
Full Name | LEEANN GORMAN |
Credential | LMSW |
Practice Address |
13310-b Brook Lane Hagerstown MD 21742-1435 |
Mailing Address |
13121 Brook Lane Hagerstown MD 21742 |
Practice Telephone | 3017330330 |
Mailing Telephone | 3017330331 |
Enumeration Date | 2018-10-01 |
Last Update Date | 2018-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 24324 | MD | Student, Health Care |
Street Address |
13310-B BROOK LANE |
City | HAGERSTOWN |
State | MD |
Zip Code | 21742-1435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
Find all providers in zip 21742 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881223345 | Caitlin Karam Kim | Student in an Organized Health Care Education/Training Program | 140 W Antietam St # 6, Hagerstown, MD 21740-5421 | 2020-04-06 |
1093344459 | Chiso Ori Uko | Student in an Organized Health Care Education/Training Program | 140 W Antietam St Apt 1, Hagerstown, MD 21740-5421 | 2020-04-06 |
1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
1053949354 | Kimura Jacobs | Student in an Organized Health Care Education/Training Program | 140 W Antietam St Apt 5, Hagerstown, MD 21740-5421 | 2020-03-31 |
1588292981 | Heather Ann Luciani | Student in an Organized Health Care Education/Training Program | 140 W Antietam St Apt 8, Hagerstown, MD 21740-5421 | 2020-03-31 |
1518594951 | Delorris Kadema | Student in an Organized Health Care Education/Training Program | 726 Monet Dr, Hagerstown, MD 21740-6346 | 2020-03-25 |
1154953545 | Matthew Mastiano | Student in an Organized Health Care Education/Training Program | 11302 Manse Rd, Hagerstown, MD 21740-7035 | 2020-02-04 |
1588265037 | Julie Louise Paez | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 249, Hagerstown, MD 21742-6756 | 2020-11-02 |
1508486648 | Rashmi Priya Singh | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2020-04-18 |
1821627290 | Barbara Pierre | Student in an Organized Health Care Education/Training Program | 140 W Antietam St Apt 5, Hagerstown, MD 21740-5421 | 2020-04-07 |
Find all providers in HAGERSTOWN |
City | HAGERSTOWN |
Zip Code | 21742 |
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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.