DOROTHY RANSON OUTTEN (NPI# 1376510693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376510693 |
| Entity Type | Individual |
| Full Name | DOROTHY RANSON OUTTEN |
| Credential | PA-C |
| Practice Address |
Lifeline Urgent Care of Randallstown 8507 Liberty Road Randallstown MD 21133 |
| Practice Telephone | 4104969105 |
| Practice Fax Number | 4104969109 |
| Mailing Telephone | 4104969105 |
| Mailing Fax Number | 4104969109 |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0000871 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PA CERTIFICATE | C0000871 | 01 |
| Street Address |
LIFELINE URGENT CARE OF RANDALLSTOWN 8507 LIBERTY ROAD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485002 | Binh Van Cao | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2017-09-05 |
| 1538512751 | Pierre Guy Daze | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-07-22 |
| 1710348388 | Zainab Kamara | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2016-03-10 |
| 1366816316 | Bethany Rohrs | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2015-11-13 |
| 1104228568 | Bethany Kate Heaton | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2014-09-17 |
| 1871992495 | Kristin Powell | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2014-08-19 |
| 1295134187 | Shannon Keohane | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2014-08-18 |
| 1235552274 | Daniel Tsige Tamerat | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2014-01-28 |
| 1679995674 | Mike Destine | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2014-01-09 |
| 1720373905 | John Bednar | Physician Assistant | 5401 Old Court Rd, Northwest Hospital Department of Emergency Medicine, Randallstown, MD 21133-5103 | 2011-06-15 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on DOROTHY RANSON OUTTEN.
| 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.