MANOJ JAIN (NPI# 1285620369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285620369 |
| Entity Type | Individual |
| Full Name | MANOJ JAIN |
| Credential | MD |
| Practice Address |
314 Franklin Ave Berlin MD 21811-1215 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 4106410277 |
| Practice Fax Number | 4106419581 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D60818 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | AMERIGROUP PROV. # (KATIN) | 01219116 | 01 |
| DE | 1000024706 | 05 | |
| MD | 403688301 | 05 | |
| VI | 010040825 | 05 | |
| MD | AMERIGROUP PROV. # (BERLIN) | 10236764 | 01 |
| VI | 010040493 | 05 | |
| VI | 010040523 | 05 | |
| MD | 403688300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750764692 | Manoj Jain | Dentist | 819 S Salina St, Syracuse, NY 13202-3527 | 2015-07-08 |
| 1972717676 | Manoj Prakash Jain | Family Medicine | 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 | 2007-05-10 |
| 1003858168 | Manoj K Jain | Internal Medicine | 6027 Walnut Grove Rd, Suite 312, Memphis, TN 38120-2145 | 2006-06-12 |
| 1871559856 | Manoj Jain | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2006-04-26 |
| Street Address |
314 FRANKLIN AVE |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461531 | Thomas D Beck Jr. | Orthopaedic Surgery | 314 Franklin Ave, Suite 105b, Berlin, MD 21811-1215 | 2005-07-20 |
| 1245786243 | Cambridge Physical Therapy, LLC | Physical Therapist | 314 Franklin Ave, Ste 501, Berlin, MD 21811-1215 | 2016-08-30 |
| 1497129423 | Briana Fedorko | Physical Therapist | 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 | 2015-11-13 |
| 1891188991 | Tidewater Dermatology, LLC | Dermatology | 314 Franklin Ave, Suite 107, Berlin, MD 21811-1215 | 2015-03-13 |
| 1366879363 | Eva Paxton | Physical Therapy Assistant | 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 | 2013-10-04 |
| 1194061739 | Monica Ann Edelmann | Physical Therapist | 314 Franklin Ave, Suite 405, Berlin, MD 21811-1215 | 2013-01-01 |
| 1700198207 | Edward Kenly Startt | Physical Therapist | 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 | 2010-07-13 |
| 1043522022 | Ocean Orthopedics PC | Orthopaedic Surgery | 314 Franklin Ave, Suite 105b, Berlin, MD 21811-1215 | 2010-07-08 |
| 1598093833 | Daniel R Pascucci | Family Medicine | 314 Franklin Ave, Suite 105-b, Berlin, MD 21811-1215 | 2009-11-24 |
| 1609101104 | Ashley R Bondurant | Physical Therapist | 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558341974 | Berlin Radiation Threapy Treatment Center, LLC | Radiology | 314 Franklin Ave, Berlin, MD 21811-1215 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| 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.