SELMA SADIK MUSTAFA (NPI# 1255809976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255809976 |
| Entity Type | Individual |
| Full Name | SELMA SADIK MUSTAFA |
| Practice Address |
1600 Crain Hwy S Ste 401 Glen Burnie MD 21061-6413 |
| Practice Telephone | 4107685050 |
| Practice Fax Number | 4107687830 |
| Mailing Telephone | 4107685050 |
| Mailing Fax Number | 4107687830 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C07012 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 CRAIN HWY S STE 401 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114209210 | Melissa Marie Morris | Specialist/Technologist | 1600 Crain Hwy S Ste 401, Glen Burnie, MD 21061-6413 | 2011-09-14 |
| 1780170191 | Aliesha Nicole Mann | Nurse Practitioner | 1600 Crain Hwy S Ste 401, Glen Burnie, MD 21061 | 2018-07-09 |
| 1972999753 | Thomas Minh Phan | Physical Medicine & Rehabilitation | 1600 Crain Hwy S Ste 401, Glen Burnie, MD 21061-6413 | 2015-04-08 |
| 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 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646460 | Diana Marie Rubel | Physician Assistant | 205 Foxridge Ct, Glen Burnie, MD 21061-6288 | 2020-03-31 |
| 1972169191 | Karalee Watts | Physician Assistant | 85 Kindred Way Apt 101, Glen Burnie, MD 21061-5246 | 2019-05-13 |
| 1265947873 | Hannah League | Physician Assistant | 301 Hospital Dr Ste 802, Glen Burnie, MD 21061-5803 | 2017-12-05 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| 1336446798 | Patrick Scott Comegys | Physician Assistant | 1600 Crain Hwy S Ste 206, Glen Burnie, MD 21061-6438 | 2011-02-22 |
| 1447572466 | Lisa Randolph | Physician Assistant | 408 Crain Hwy S Ste 7, Glen Burnie, MD 21061-3661 | 2010-02-17 |
| 1801913918 | Kevin S. Winstead | Physician Assistant | 811 Cromwell Park Dr, Suite 104-105, Glen Burnie, MD 21061-2566 | 2007-03-23 |
| 1922051549 | Patrick H Farley | Physician Assistant | 301 Hospital Drive, Glen Burnie, MD 21061-5803 | 2006-05-17 |
| 1740241256 | Laura E Farris | Physician Assistant | 128 Louise Ter, Glen Burnie, MD 21060-7339 | 2006-04-01 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.