MR. REVLON WILLIAMS (NPI# 1275072050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275072050 |
| Entity Type | Individual |
| Full Name | MR. REVLON WILLIAMS |
| Credential | MS |
| Practice Address |
18105 Prince Philip Dr Olney MD 20832-1514 |
| Practice Telephone | 3012603707 |
| Practice Fax Number | 3012603710 |
| Mailing Telephone | 3012603707 |
| Mailing Fax Number | 3012603710 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Street Address |
18105 PRINCE PHILIP DR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386697787 | University of Maryland Radiation Oncology Associates Pa | Radiology | 18105 Prince Philip Dr, Olney, MD 20832-1514 | 2006-05-18 |
| 1063457372 | Luther Lorenzo Ampey IIi | Radiology | 18105 Prince Philip Dr, Olney, MD 20832-1514 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104218585 | Capital Management Partners | Long Term Care Hospital | 10411 Motor City Dr Ste 500, Bethesda, MD 20817-1005 | 2015-02-23 |
| 1679981633 | Calix Surgical Neurophysiology LLC | Long Term Care Hospital | 206 Queen Marie Ct, Upper Marlboro, MD 20774-8818 | 2014-07-22 |
| 1356763767 | Life Bridge Health | Long Term Care Hospital | 1909 Olivine Ct, Silver Spring, MD 20904-5323 | 2014-01-21 |
| 1073127551 | Care Point LLC | Long Term Care Hospital | 9106 Pine View Ln, Clinton, MD 20735-3229 | 2020-09-02 |
| 1427601046 | Brieze Neuromonitoring, LLC. | Long Term Care Hospital | 206 Queen Marie Ct, Upper Marlboro, MD 20774-8818 | 2019-07-23 |
| 1922410604 | Rite Aid Pharmacy | Long Term Care Hospital | 6130 Baltimore Ave, Riverdale, MD 20737-1905 | 2014-05-29 |
| 1699034439 | Joshua Botwe | Long Term Care Hospital | 827 Linden Ave, Baltimore, MD 21201-2049 | 2012-05-14 |
| 1164791687 | Department of Health and Mental Hygiene | Long Term Care Hospital | 201 W Preston St, 5th Floor, Baltimore, MD 21201-2301 | 2011-12-29 |
| 1154690733 | Western Maryland Hospital Center | Long Term Care Hospital | 201 W Preston St, 5th Floor, Baltimore, MD 21201-2301 | 2011-12-28 |
| 1356619738 | Department of Health and Mental Hygiene | Long Term Care Hospital | 201 W Preston St, 5th Floor, Baltimore, MD 21201-2301 | 2011-12-13 |
| Find all providers with the same taxonomy | ||||
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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.