OTIS LAWRENCE STITT III (NPI# 1245362706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245362706 |
| Entity Type | Individual |
| Full Name | OTIS LAWRENCE STITT III |
| Credential | M.D. |
| Practice Address |
26005 Ridge Rd Ste 200 Damascus MD 20872-1899 |
| Practice Telephone | 3014142300 |
| Practice Fax Number | 3014142306 |
| Mailing Telephone | 3014142300 |
| Mailing Fax Number | 3014142306 |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0065873 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 060723100 | 05 |
| Street Address |
26005 RIDGE RD STE 200 |
| City | DAMASCUS |
| State | MD |
| Zip Code | 20872-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381794 | Vilma Ortega | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2005-07-29 |
| 1063062057 | Simmonds, Martin & Helmbrecht, LLC | Clinic/Center | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2019-09-12 |
| 1669998399 | Jennifer C Clayton | Nurse Practitioner | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2017-08-15 |
| 1730627233 | Jodi Westrum | Advanced Practice Midwife | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2017-02-03 |
| 1144764259 | Inara Omuso | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2016-12-08 |
| 1619332210 | Nyela Amadi | Advanced Practice Midwife | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2015-12-23 |
| 1194110106 | Jennifer Helaine Marie Haase | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2015-04-06 |
| 1417394818 | Mera Keenan | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2013-05-28 |
| 1881937662 | Jenna B Noveau | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2013-03-31 |
| 1013208032 | Linda Evonne Brogdon | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2011-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072601 | Jayesh N Patel | Pharmacist | Weis Pharmacy, 26075 S. Ridge Rd, Damascus, MD 20872 | 2018-11-26 |
| 1396264834 | Perfect Balance Counseling Services, LLC | Counselor | 28201 Clarksburg Road, Damascus, MD 20872 | 2017-09-15 |
| 1972900520 | Heather Clark | Family Medicine | 9815 Main St Ste 208, Damascus, MD 20872 | 2014-11-25 |
| 1669819991 | Teicher Nicole Agosto | Pharmacist | 25613 Coltrane Drive, Damascus, MD 20872 | 2013-05-28 |
| 1295178663 | Cherifath Imelda Akimey Amadou Kiki | Home Health Aide | 2705 Nicholson Street Apt 302, Hyattsville, MD 20872 | 2013-04-16 |
| 1013297084 | Vera Bong Sangbong | Pharmacist | 9807 Main Street, Damascus, MD 20872 | 2011-08-23 |
| 1881736502 | Graciano P Gancayco | Pediatrics | 9701 New Church St., Damascus, MD 20872 | 2007-02-12 |
| 1700961893 | Richard J Schoeb Dds Chtd | Dentist | 9701 New Church St, Suite 9, Damascus, MD 20872 | 2006-10-26 |
| 1508838111 | Frank H Lewis Dds LLC | Dentist | 9899 Main St, Suite 200, Damascus, MD 20872 | 2006-02-07 |
| 1952303604 | Theresa D Poepperling | Midwife | 26005 Ridge Road, Suite 200, Damascus, MD 20872 | 2005-08-12 |
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| 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 |
|---|---|---|---|---|
| 1548467541 | Craig Stephen Cropp | Obstetrics & Gynecology | 9101 Gue Rd, Damascus, MD 20872-1022 | 2007-07-02 |
| 1750381794 | Vilma Ortega | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2005-07-29 |
| 1144764259 | Inara Omuso | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2016-12-08 |
| 1194110106 | Jennifer Helaine Marie Haase | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2015-04-06 |
| 1366873473 | Donna Figueroa | Obstetrics & Gynecology | 26005 Ridge Rd, Suite 200, Damascus, MD 20872-1892 | 2013-11-29 |
| 1417394818 | Mera Keenan | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2013-05-28 |
| 1881937662 | Jenna B Noveau | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2013-03-31 |
| 1104184654 | Tara Hudak Olson | Obstetrics & Gynecology | 26005 Ridge Rd, Suite 200, Damascus, MD 20872-1892 | 2012-05-02 |
| 1144597238 | Tabitha Perry | Obstetrics & Gynecology | 26005 Ridge Road, Suite 200, Damascus, MD 20872-1899 | 2011-11-17 |
| 1013208032 | Linda Evonne Brogdon | Obstetrics & Gynecology | 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 | 2011-04-25 |
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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.