STEPHAN C KURYLAS (NPI# 1407883903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883903 |
| Entity Type | Individual |
| Full Name | STEPHAN C KURYLAS |
| Practice Address |
2191 Defense Highway 104 Crofton MD 21114 |
| Practice Telephone | 4107212422 |
| Practice Fax Number | 4217212423 |
| Mailing Telephone | 4107212422 |
| Mailing Fax Number | 4217212423 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0035413 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
2191 DEFENSE HIGHWAY 104 |
| City | CROFTON |
| State | MD |
| Zip Code | 21114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548356165 | Cynthia Lee Butler | Social Worker | 2191 Defense Highway, Suite 308, Crofton, MD 21114 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| 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 |
|---|---|---|---|---|
| 1497277149 | Heather Siobhan Newhard | Family Medicine | 2191 Defense Hwy Ste 201, Crofton, MD 21114-2469 | 2017-07-14 |
| 1639186711 | The Pediatric Group and Families Too!, LLC | Family Medicine | 2225 Defense Highway, F, Crofton, MD 21114 | 2006-08-02 |
| 1477545077 | Allison Nichelle Williams | Family Medicine | 1684 Village Grn Lowr Level, Crofton, MD 21114-2061 | 2005-08-19 |
| 1245222082 | Simita U. Talwar | Family Medicine | 1302 Cronson Blvd, Suite E, Crofton, MD 21114-2064 | 2005-08-18 |
| 1124531702 | Village Green Primary Care, LLC | Family Medicine | 1684 Village Grn Lowr Level, Crofton, MD 21114-2059 | 2017-11-06 |
| 1386088599 | Susan Long | Family Medicine | 2191 Defense Hwy, Ste 201, Crofton, MD 21114-2931 | 2013-04-18 |
| 1316206949 | Sacred Heart Health Services | Family Medicine | 203 W Main St, Crofton, NE 68730-0425 | 2012-05-16 |
| 1437464344 | Total Family Care LLC | Family Medicine | 1302 Cronson Blvd, Suite E, Crofton, MD 21114-2064 | 2010-08-16 |
| 1447396494 | Mary Lou Sweeney | Family Medicine | 2200 Defense Hwy, Suite 200, Crofton, MD 21114-2926 | 2007-01-29 |
| 1184791485 | Ronald C Sroka | Family Medicine | 1684 Village Green, Crofton Family Practice, Crofton, MD 21114 | 2006-11-29 |
| Find all providers in CROFTON | ||||
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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.