DR. BRUCE C KINZINGER (NPI# 1174552012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174552012 |
| Entity Type | Individual |
| Full Name | DR. BRUCE C KINZINGER |
| Credential | MD |
| 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 | 2006-07-02 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0044260 | MD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD418799 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001890267 | 05 |
| 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 |
| 1376509075 | John Merren Byrne | Internal Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-04-22 |
| 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 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883540 | Modern Day Health Care Prof LLC | Family Medicine | 125 Railroad Ave Se, Aberdeen, SD 57401-4202 | 2018-05-30 |
| 1639597370 | Jason Li | Family Medicine | 17 Beacon Ln, Aberdeen, NJ 07747-2301 | 2014-03-31 |
| 1154695344 | Urgent Cares of America North Carolina Inc. | Family Medicine | 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 | 2012-03-06 |
| 1184919151 | Oluwakemi Ajide | Family Medicine | 1013 Beards Hill Rd, Suite 103, Aberdeen, MD 21001-2293 | 2011-06-17 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1013143296 | Avera St. Luke's | Family Medicine | 105 S State St Ste 113, Aberdeen, SD 57401-4502 | 2009-06-02 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1992732168 | Charles D Adams | Family Medicine | 1813 Sumner St, Aberdeen, WA 98520 | 2006-06-26 |
| 1154364636 | Kevin Curtis Hayes | Family Medicine | 504 S Chestnut St, Aberdeen, MS 39730-3337 | 2006-06-13 |
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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.