MID-ATLANTIC MOBILE LITHOTRIPSY, LLC (NPI# 1174734016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174734016 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC MOBILE LITHOTRIPSY, LLC |
| Practice Address |
7759 Belle Point Drive Greenbelt MD 20776 |
| Mailing Address |
10711 Red Run Blvd Ste 101 Owings Mills MD 21117-5138 |
| Practice Telephone | 4103560417 |
| Mailing Telephone | 4103560417 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACK FRANCIS (MANAGING MEMBER) |
| Authorized Official Telephone | 3014412004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| Street Address |
7759 BELLE POINT DRIVE |
| City | GREENBELT |
| State | MD |
| Zip Code | 20776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225407869 | Safe Harbor Christian Counseling of Annapolis | Psychologist | 4434 Winsor Farm Rd, Harwood, MD 20776 | 2015-09-24 |
| 1992977904 | Kennedy Krieger Education and Community Services, Inc. | Social Worker | 4400 Solomons Island Rd., Anne Arundel II Southern School, Harwood, MD 20776 | 2008-03-31 |
| 1467448761 | David B Abell | Physician Assistant | 5 Bethel Lane, Harwood, MD 20776 | 2005-09-22 |
| 1427471820 | Kristin Degnon | Acupuncturist | 4440 Windsor Farm Rd, Harwood, MD 20776-2201 | 2014-01-22 |
| 1922040047 | William Watts Williams | Psychologist | 4434 Windsor Farm Rd, Harwood, MD 20776-2201 | 2006-06-12 |
| 1417318734 | Act Transportation | Ambulance | 4536 Owensville Sudley Rd, Harwood, MD 20776-9403 | 2016-03-14 |
| 1720484462 | Lisa Singletary | Family Medicine | 4689 Sands Rd, Harwood, MD 20776-9428 | 2014-11-07 |
| 1548665771 | Robert Charles Frey | Family Medicine | 801 Richardson Dr, Harwood, MD 20776-9463 | 2014-10-30 |
| 1811048978 | Dixie H. Poe | Nurse Practitioner | 100 Grays Rd, Harwood, MD 20776-9469 | 2007-01-16 |
| 1497861256 | Mariann Elizabeth Michels | Psychologist | 4485 Old Solomons Island Rd, Harwood, MD 20776-9486 | 2006-08-22 |
| Find all providers in zip 20776 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770793135 | Maritime Lithotripsy, LLC | Clinic/Center | 211 E. Lomard St., #122, Baltimore, MD 21202-6102 | 2007-05-23 |
| 1396759254 | Chesapeake Lithotripsy Associates, L.p. | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2006-07-28 |
| 1164934212 | Medstar Endoscopy Center At Lutherville, LLC | Clinic/Center | 1300 Bellona Ave Ste A, Lutherville, MD 21093-5466 | 2017-10-30 |
| 1134383235 | Ums Chesapeake Lithotripsy, LLC | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2008-07-17 |
| 1801014907 | Medispec Ltd. | Clinic/Center | 20410 Observation Dr, Suite 102, Germantown, MD 20876-4000 | 2007-04-23 |
| 1689749350 | Columbia Urological Surgical Center, L.L.C. | Clinic/Center | 11085 Little Patuxent Pkwy, Suite 204, Columbia, MD 21044-2983 | 2006-11-21 |
| 1528141025 | Eastern Shore Lithotripsy | Clinic/Center | 6 Caulk Ln, Easton, MD 21601-3854 | 2006-10-20 |
| 1023199601 | Anne Arundel Urological Surgery Center LLC | Clinic/Center | 600 Ridgely Ave, Suite 223, Annapolis, MD 21401-1001 | 2006-10-18 |
| 1568476422 | Chesapeake Lithotripsy Partners, L.p. | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2006-07-28 |
| 1275547135 | Chesapeake Lithotripsy Enterprises, L.p. | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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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.