JEFFREY L BOBER DPM PA


Address: 12 Crain Highway, Glen Burnie, MD 21061-3526
Phone: 4107619606

JEFFREY L BOBER DPM PA (NPI# 1194999359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194999359
Entity Type Organization
Organization Name JEFFREY L BOBER DPM PA
Other Organization Name JEFFREY L BOBER DPM PA ASC
Practice Address 12 Crain Highway
Glen Burnie
MD 21061-3526
Practice Telephone 4107619606
Practice Fax Number 4436280293
Mailing Telephone 4107619606
Mailing Fax Number 4436280293
Enumeration Date 2008-04-18
Last Update Date 2013-05-29
Authorized Official Name DR. JEFFREY L BOBER (OWNER)
Authorized Official Telephone 4107619606
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
JEFFREY L BOBER DPM PA ASC Other Name - Individual/Organization

Office Location

Street Address 12 CRAIN HIGHWAY
City GLEN BURNIE
State MD
Zip Code 21061-3526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255814422 Lotus Behavioral Health and Rehabilitation Services Inc. Behavior Technician 6426 Harrison Square, Glen Burnie, MD 21061 2018-09-12
1942795315 Tina Brown Behavior Technician Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 2018-06-27
1205351905 Digna Emerita Sanchez De Vasquez Specialist/Technologist, Other 201 Fernglen Ave, Glen Burnie, MD 21061 2017-08-03
1255780300 Rachel Cutts Physical Therapist 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 2016-06-09
1295181170 Gaudenzia, Inc. Counselor 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 2016-05-10
1023499548 Mary Bourbon Nurse Practitioner 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 2015-06-10
1972997724 Robert Oladeinde Physician Assistant 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 2015-03-18
1205248069 Cathy Qing He Anesthesiology 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 2014-05-28
1477974764 Shannon Holder Nurse Practitioner 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 2014-01-03
1629404207 Marla Ann Muha Physician Assistant 301 Hospital Dr # 803, Glen Burnie, MD 21061 2013-09-16
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699138230 Ryan Bernardino Clinic/Center 8111 Hickory Hollow Dr, Glen Burnie, MD 21060-8639 2016-03-31
1750612446 Bay Surgery Centers - Glen Burnie Clinic/Center 7671 Quarterfield Rd Ste 301b, Glen Burnie, MD 21061-4525 2010-01-20
1942472931 Surgcenter of Glen Burnie Clinic/Center 308 Hospital Dr, Ste 102, Glen Burnie, MD 21061 2008-03-31
1205013273 Glen Burnie Md Endoscopy Asc LLC Clinic/Center 7704 Quarterfield Rd Ste A, Glen Burnie, MD 21061-4412 2008-01-22
1972730729 Arundel Foot & Ankle Surgery Center, LLC Clinic/Center 1412 Crain Hwy N, Ste 1a, Glen Burnie, MD 21061-9306 2009-06-19
1023266145 Asc Development Company, LLC Clinic/Center 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 2008-09-03
1184811168 Summit Ambulatory Surgical Center, LLC Clinic/Center 7704 Quarterfield Rd, Suite 3c, Glen Burnie, MD 21061-4412 2007-10-03
1245263136 Maryland Urology Surgicenters, LLC Clinic/Center 7704 Quarterfield Rd, Suite C, Glen Burnie, MD 21061-4412 2006-07-07
1801847850 Maryland Plastic Surgery, LLC Clinic/Center 7704 Quarterfield Rd, Suite E, Glen Burnie, MD 21061-4412 2006-05-15
1700881539 Arturo Betancourt, Md, Pa Clinic/Center 200 Hospital Dr, Ste 600, Glen Burnie, MD 21061-5865 2005-06-17
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Competitor

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City GLEN BURNIE
Zip Code 21061

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Dataset Information

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.

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