MAMATA BLON (NPI# 1366932287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366932287 |
| Entity Type | Individual |
| Full Name | MAMATA BLON |
| Credential | PA-C |
| Practice Address |
5 Garrett Ave La Plata MD 20646-5960 |
| Mailing Address |
12070 Old Line Ctr Ste 303 Waldorf MD 20602-3535 |
| Practice Telephone | 3016094000 |
| Mailing Telephone | 3016455100 |
| Mailing Fax Number | 4439490825 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C06809 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 GARRETT AVE |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701825 | Civista Medical Center Inc. | General Acute Care Hospital | 5 Garrett Ave, La Plata, MD 20646-5960 | 2005-06-24 |
| 1245883685 | Dena R Marseglia | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2019-07-23 |
| 1326514613 | Brandon Timothy Pace | Nurse Anesthetist, Certified Registered | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-10-15 |
| 1841776531 | Naureen Khan | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-07-16 |
| 1962910794 | Laanita Gillispie | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-01-15 |
| 1063925873 | Chelsea Dawn Hughes | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-11-15 |
| 1417479395 | Javonna O'brien | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-07-12 |
| 1841712254 | Qler Physician Medical Group, P.a. | Psychiatry & Neurology | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-07-07 |
| 1053840884 | Njideka Oguejiofor | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-06-06 |
| 1750730222 | Melissa James | Nurse Practitioner | 5 Garrett Ave, La Plata, MD 20646-5960 | 2016-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| 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 |
|---|---|---|---|---|
| 1598985178 | Lisa A Broome | Physician Assistant | 16 N La Plata Ct, La Plata, MD 20646-4283 | 2007-04-26 |
| 1851368179 | Anthony Hinkson | Physician Assistant | 701 Charles St, La Plata, MD 20646-5930 | 2006-03-06 |
| 1447227145 | Patrick Gately | Physician Assistant | 701 Charles St, La Plata, MD 20646-5930 | 2006-03-02 |
| 1811997158 | Deborah Fisher | Physician Assistant | 701 Charles St, La Plata, MD 20646-5930 | 2005-07-28 |
| 1083614390 | Diane H Stowers | Physician Assistant | 701 Charles St, La Plata, MD 20646-5930 | 2005-07-28 |
| 1396745691 | Edgar F Peithman | Physician Assistant | 701 Charles St, La Plata, MD 20646-5930 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
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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.