CANDICE TRACI MAK (NPI# 1225297039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225297039 |
| Entity Type | Individual |
| Full Name | CANDICE TRACI MAK |
| Credential | MD |
| Practice Address |
8945 Guilford Rd Suite 100 Columbia MD 21046-2659 |
| Practice Telephone | 4109978444 |
| Practice Fax Number | 4109978832 |
| Mailing Telephone | 4109978444 |
| Mailing Fax Number | 4109978832 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2018-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0073850 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
8945 GUILFORD RD SUITE 100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030228 | Monique Rainford | Obstetrics & Gynecology | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2006-02-06 |
| 1275934184 | Katie Anne Depalma | Advanced Practice Midwife | 8945 Guilford Rd, Columbia, MD 21046-2659 | 2014-09-10 |
| 1083960918 | Helen Loeffler | Advanced Practice Midwife | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2012-07-30 |
| 1457645277 | Mofolusho O Sodeke | Obstetrics & Gynecology | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2011-06-09 |
| 1043472145 | Caremark, L.L.C. | Pharmacy | 8945 Guilford Rd, Suite 110, Columbia, MD 21046-2659 | 2008-06-30 |
| 1942469374 | Sherita Denean Gaskins | Obstetrics & Gynecology | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2008-06-02 |
| 1598930786 | Diane D Chmel | Pharmacist | 8945 Guilford Rd, Suite 110, Columbia, MD 21046-2659 | 2008-04-28 |
| 1790817252 | Sara K. Rankin | Obstetrics & Gynecology | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2007-03-11 |
| 1972640878 | Temitayo Omoteleola Soyoye | Nurse Practitioner | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2007-01-31 |
| 1356440861 | Sharice Hammond | Obstetrics & Gynecology | 8945 Guilford Rd, Suite 100, Columbia, MD 21046-2659 | 2006-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1700403334 | Sarah Mai Truong | Obstetrics & Gynecology | 402 N Keene St # Dc570.00, Columbia, MO 65201-6986 | 2020-06-30 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1962049593 | Michael Wayne Mccullough | Obstetrics & Gynecology | 500 N Keene St Ste 400, Columbia, MO 65201-8104 | 2019-12-02 |
| 1144881509 | Stephanie Barata | Obstetrics & Gynecology | 402 N Keene St Ste 402, Columbia, MO 65201-6986 | 2019-06-26 |
| 1407411895 | Silki Pankajkumar Modi | Obstetrics & Gynecology | The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 | 2019-05-01 |
| 1780105080 | Jennifer Irene Higdon | Obstetrics & Gynecology | Women's Center, 1801 Sunset Drive, Columbia, SC 29203 | 2017-06-28 |
| 1184157984 | Robert Mcdavid | Obstetrics & Gynecology | 3609 Arbor Ct, Columbia, MO 65201-6542 | 2017-04-07 |
| 1831548254 | Darrah Berck | Obstetrics & Gynecology | 1601 E Broadway Ste 300, Columbia, MO 65201-8022 | 2016-06-07 |
| 1285013276 | Whitney Lynn Shepard | Obstetrics & Gynecology | 1228 Harden St Ste B, Columbia, SC 29204-1800 | 2015-05-22 |
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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.