EPEC CLINIC LLC (NPI# 1316578917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316578917 |
| Entity Type | Organization |
| Organization Name | EPEC CLINIC LLC |
| Practice Address |
6830 Hospital Dr Ste 104 Rosedale MD 21237-4375 |
| Practice Telephone | 4104199428 |
| Mailing Telephone | 4104199428 |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | MRS. LEKEYA HUTTON (OWNER) |
| Authorized Official Telephone | 4104199428 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 152013000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 608 Tinker Rd, Middle River, MD 212203799 | 4104199428 | 3016180594 |
| Street Address |
6830 HOSPITAL DR STE 104 |
| City | ROSEDALE |
| State | MD |
| Zip Code | 21237-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1235353376 | Ms Family Medicine Health Care, PC | Family Medicine | 241-08 140th Ave, Rosedale, NY 11422-2022 | 2007-04-12 |
| 1023187051 | Michele Claudette Reed | Family Medicine | 241-08 140th Avenue, Rosedale, NY 11422 | 2006-11-06 |
| 1043223340 | Rosedale Family Medical Center, P.C. | Family Medicine | 512 Levee St., Rosedale, MS 38769-0310 | 2006-08-15 |
| 1881636595 | Nancy B Barr | Family Medicine | 9101 Franklin Square Dr Ste 205, Rosedale, MD 21237-3975 | 2006-06-10 |
| 1376517623 | Frank L Spendal | Family Medicine | 35 S Elm St, Rosedale, IN 47874-9543 | 2006-02-14 |
| 1275194110 | Patricia Lorena Zea | Family Medicine | 6830 Hospital Dr Ste 206, Rosedale, MD 21237-4377 | 2019-06-21 |
| 1467935957 | Lekeya Hutton | Family Medicine | 9114 Philadelphia Rd Ste 214, Rosedale, MD 21237-4348 | 2018-09-11 |
| 1548650401 | Krystal Jenkins | Family Medicine | 24108 140th Ave, Rosedale, NY 11422-2022 | 2015-01-30 |
| 1912273046 | Oliver Royer Zuses | Family Medicine | 7106 Ridge Rd Ste B, Rosedale, MD 21237-3883 | 2012-03-22 |
| Find all providers in ROSEDALE | ||||
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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.