JASON WEDDLE (NPI# 1194124248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194124248 |
Entity Type | Individual |
Full Name | JASON WEDDLE |
Credential | ATC,, LAT |
Practice Address |
11110 Medical Campus Rd Hagerstown MD 21742-6700 |
Practice Telephone | 3013020501 |
Mailing Telephone | 3013020501 |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A00249 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11110 MEDICAL CAMPUS RD |
City | HAGERSTOWN |
State | MD |
Zip Code | 21742-6700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
Find all providers in the same location |
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 | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023571791 | Kristen Shea Akers | Specialist/Technologist | 19203 Cranberry Ct, Hagerstown, MD 21742-5315 | 2019-04-10 |
1013310614 | Amber Dawn Moats | Specialist/Technologist | 18501 Maugans Ave, Suite 101, Hagerstown, MD 21742-2990 | 2014-09-27 |
1437559283 | Keshia Nicole Williams | Specialist/Technologist | 982b Saint Clair St, Hagerstown, MD 21742-3133 | 2014-08-29 |
1700888120 | Les Dutko | Specialist/Technologist | 222 E Oak Ridge Dr, Suite 1800, Hagerstown, MD 21740-7858 | 2005-08-15 |
1962029686 | Rachel Lynn Warner | Specialist/Technologist | 18501 Maugans Ave Ste 101, Hagerstown, MD 21742-3393 | 2020-06-29 |
1861870297 | Katrina Devore | Specialist/Technologist | 18501 Maugans Ave, Suite 101, Hagerstown, MD 21742-2990 | 2015-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253928 | Haleemah Muhaymin | Specialist/Technologist | 4701 Cedar Ct, Beltsville, MD 20705-2849 | 2020-10-24 |
1093328775 | Meghan Rose Pugh | Specialist/Technologist | 411 Penwood Dr, Edgewater, MD 21037-3441 | 2020-08-24 |
1023620978 | Tyler Francis Miller | Specialist/Technologist | 103 Cara Cove Rd, North East, MD 21901-5405 | 2020-08-21 |
1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
1164031811 | Deshanae Michelle Meaders | Specialist/Technologist | 2742 Lorring Dr Apt 204, District Heights, MD 20747-3434 | 2020-07-29 |
1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
1871118810 | Jordyn Milan Brown | Specialist/Technologist | 9 Lee Airpark Dr # 400, Edgewater, MD 21037-1229 | 2020-06-16 |
1184249567 | Kirsten Helman | Specialist/Technologist | 23327 Ringgold Pike, Smithsburg, MD 21783-1114 | 2020-06-11 |
1902428188 | Dwanye D Molock | Specialist/Technologist | 11550 Crossroads Cir Unit 649, Middle River, MD 21220-2994 | 2020-05-11 |
1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
Find all providers with the same taxonomy |
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.