JOHN MATTHEWS EGLSEDER II (NPI# 1407263072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407263072 |
| Entity Type | Individual |
| Full Name | JOHN MATTHEWS EGLSEDER II |
| Credential | PA-C |
| Practice Address |
808 S 5th Ave Denton MD 21629-1398 |
| Practice Telephone | 4104792650 |
| Practice Fax Number | 3390822838 |
| Mailing Telephone | 4104792650 |
| Mailing Fax Number | 8339082283 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C05441 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 S Washington St, Easton, MD 216012913 | 4108221000 |
| Street Address |
808 S 5TH AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008000 | Lisa Diane Urban | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2005-10-21 |
| 1750918447 | Sarah Lindsay Czyz | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1720615487 | Carrie Arvonda Secrist Simpler | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1336794155 | Vanessa Marie Moore | Dentist | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-08 |
| 1255858122 | Elizabeth Anne Buckshaw | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-08-23 |
| 1962932897 | Cameron Moore | Family Medicine | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-06-13 |
| 1164953790 | Adeline Lee Melvin | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-03-24 |
| 1801229133 | Megan Wojtko | Nurse Practitioner | 808 S 5th Ave, Denton, MD 21629-1398 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1447769203 | Allen Health Systems Pllc | Physician Assistant | 2900 N I 35 Ste 110, Denton, TX 76201-5142 | 2017-09-25 |
| 1780054429 | Jessica Van Noy | Physician Assistant | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2015-10-06 |
| 1083037758 | Kellye Michelle Grimes | Physician Assistant | 2665 Scripture St, Denton, TX 76201-2302 | 2014-01-30 |
| 1477806594 | Integrated Care P.a | Physician Assistant | 400 N Loop 288, Suite 120, Denton, TX 76209-4809 | 2012-10-26 |
| 1639471931 | Nhan Gia-chau Wong | Physician Assistant | 2223 Colorado Blvd, Denton, TX 76205-7523 | 2010-11-19 |
| 1407081920 | Karishma Pravin Patel | Physician Assistant | 4310 Mesa Dr, Denton, TX 76207-3460 | 2009-05-28 |
| 1528257755 | Chris William Witt | Physician Assistant | 3319 Colorado Blvd, Denton, TX 76210-6817 | 2007-10-24 |
| 1588761837 | Leah Migala | Physician Assistant | 2900 N Interstate 35, Suite 110, Denton, TX 76201-5141 | 2006-09-20 |
| 1972598456 | Randall Stuart Martz | Physician Assistant | 1512 Teasley Ln, Denton, TX 76205-7282 | 2005-09-12 |
| Find all providers in DENTON | ||||
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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.