YINA MO


Address: 9707 Key West Ave Ste 125, Rockville, MD 20850-3992
Phone: 2402681224

YINA MO (NPI# 1376095604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376095604
Entity Type Individual
Full Name YINA MO
Credential PA-C
Practice Address 9707 Key West Ave Ste 125
Rockville
MD 20850-3992
Mailing Address 2001 Butterfield Rd Ste 300
Downers Grove
IL 60515-1069
Practice Telephone 2402681224
Practice Fax Number 2402681225
Mailing Telephone 6307252730
Mailing Fax Number 8442055691
Enumeration Date 2016-11-03
Last Update Date 2017-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0006290 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9707 KEY WEST AVE STE 125
City ROCKVILLE
State MD
Zip Code 20850-3992

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1750924205 Omer N Pamuk Internal Medicine 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 2019-10-28
1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
1417421843 Wei Li Acupuncturist 9600 Blackwell Road. Suite 300, Rockville, MD 20850 2019-01-18
1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
1295208486 Laura Hanley Physical Therapy Assistant The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 2019-01-10
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487913653 Diane Elizabeth Hastings Physician Assistant 40 W Gude Dr Ste 120, Rockville, MD 20850-1191 2012-05-09
1225199631 Claire L Rosche Matzzie Physician Assistant 15825 Shady Grove Rd Ste 140, Rockville, MD 20850-4015 2006-12-12
1174595383 Scott Henderson Physician Assistant 1101 Wootton Pkwy, Suite 100, Rockville, MD 20852-1059 2006-02-02
1881149847 Jennifer Leigh Schaeffer Physician Assistant 9601 Blackwell Rd, Ste 275, Rockville, MD 20850-3472 2016-08-19
1629448501 Natalia Lea Darling Physician Assistant 15204 Omega Dr, Rockville, MD 20850-4601 2015-10-05
1033544861 Nicole Marie Edwards Physician Assistant 9901 Medical Center Dr, Rockville, MD 20850-3357 2013-09-11
1700219284 Luwam Asnake Wolana Physician Assistant 726 Rockville Pike, Rockville, MD 20852-1133 2013-08-19
1619226586 Katherine Elizabeth Bright D'antonio Physician Assistant 9707 Medical Center Dr, # 300, Rockville, MD 20850 2012-09-06
1326362104 Warren Schmidt Physician Assistant 121 Congressional Ln, #409, Rockville, MD 20852-1542 2010-03-23
1386972255 Brittany Rose Coleman Physician Assistant 15204 Omega Dr Ste 310, Rockville, MD 20850 2009-12-03
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

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.

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