MS. JENNIFER LYNN KNODE (NPI# 1245237684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245237684 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN KNODE |
| Credential | PAC |
| Practice Address |
12070 Old Line Ctr Ste 207 Waldorf MD 20602-2567 |
| Practice Telephone | 3018700660 |
| Practice Fax Number | 3019328310 |
| Mailing Telephone | 3018700660 |
| Mailing Fax Number | 3019328310 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0001763 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12070 OLD LINE CTR STE 207 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206412 | Douglas Avery & Associates Ltd | Clinic/Center | 12070 Old Line Ctr, Ste 107, Waldorf, MD 20602-2503 | 2005-06-21 |
| 1104467463 | Maryland Pain & Regenerative Center, LLC | Pain Medicine | 12070 Old Line Ctr, Waldorf, MD 20602-2513 | 2019-10-07 |
| 1578947305 | Larry S. Hotchkiss, Dpm PC | Non-Pharmacy Dispensing Site | 12070 Old Line Ctr, #110, Waldorf, MD 20602-2513 | 2015-07-10 |
| 1851791735 | Pro-perform Spinal Health & Rehab LLC | Chiropractor | 12070 Old Line Ctr, Suite 301, Waldorf, MD 20602-2513 | 2014-08-28 |
| 1427494343 | Denise Colton | Nurse Practitioner | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 | 2013-05-18 |
| 1659636082 | Justin G. Pointer | Podiatrist | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2513 | 2012-07-11 |
| 1538437223 | Christine T Gardella | Physician Assistant | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 | 2011-12-08 |
| 1265670046 | Dawn Stephanie Christopher | Internal Medicine | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 | 2009-02-02 |
| 1548406960 | Surgical Associates, Chartered | Surgery | 12070 Old Line Ctr, Suite 306, Waldorf, MD 20602-2513 | 2009-01-07 |
| 1386812113 | Elizabeth Hurt | Internal Medicine | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 | 2008-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013193036 | Jennifer Hilfiker | Physician Assistant | 7 Post Office Rd Ste C, Waldorf, MD 20602-2744 | 2008-01-22 |
| 1972548584 | Shannon L Gilliam | Physician Assistant | 12070 Old Line Ctr Ste 303, Waldorf, MD 20602-3535 | 2006-06-18 |
| 1588097265 | Jordan Bebber | Physician Assistant | 605 Post Office Rd, Suite 102, Waldorf, MD 20602-1913 | 2013-08-16 |
| 1598028649 | Virginia Noftsier | Physician Assistant | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602-3706 | 2012-06-22 |
| 1538437223 | Christine T Gardella | Physician Assistant | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 | 2011-12-08 |
| 1649555491 | Margaret C Summers | Physician Assistant | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2011-10-12 |
| 1962793810 | Colleen Ingrid Rita Nanton | Physician Assistant | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2011-04-27 |
| 1992952949 | Gladys Ann Wilkins | Physician Assistant | 3510 Old Washington Rd, #100, Waldorf, MD 20602-3233 | 2008-08-21 |
| 1003032855 | Chinyere Ngozi Eze | Physician Assistant | 11750 Business Park Dr, Suite 103, Waldorf, MD 20601-2907 | 2007-04-18 |
| 1033237722 | Donna Arthur | Physician Assistant | 3510 Old Washington Rd, Suite 200, Waldorf, MD 20602-3233 | 2007-03-27 |
| Find all providers in WALDORF | ||||
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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.