JUDITH GREENGOLD (NPI# 1417327487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417327487 |
| Entity Type | Individual |
| Full Name | JUDITH GREENGOLD |
| Credential | CRNP |
| Practice Address |
8115 Maple Lawn Blvd Ste 140 Fulton MD 20759 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 2404591800 |
| Mailing Telephone | 4109335412 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R207608 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8115 MAPLE LAWN BLVD STE 140 |
| City | FULTON |
| State | MD |
| Zip Code | 20759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1093036774 | Arfassa Shiferaw | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2010-06-17 |
| 1912136896 | Ali Seyed Sajjadi | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2009-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
| 1174081913 | Darrius Humphrey | Counselor | 7625 Wood Lawn Boulevard, Medical Arts Building, Suite Ll50, Laurel, MD 20759 | 2019-03-12 |
| 1578986105 | Total Investment & Marketing, Inc | Assisted Living Facility | 12026 Scaggsville Road, Fulton, MD 20759 | 2014-02-03 |
| 1235489030 | First Sight Vision Care LLC | Clinic/Center | 8160 Maple Lawn Blvd, Suite 140, Fulton, MD 20759 | 2012-09-19 |
| 1669730941 | Urenna Acholonu | Obstetrics & Gynecology | 7625 Maple Lawn Blvd Lowr Lobby, Fulton, MD 20759 | 2012-04-24 |
| 1528228418 | Jill Stern May | Physical Therapist | 11830 W Market Pl Ste D, Fulton, MD 20759 | 2008-06-13 |
| 1750580346 | Standard Medical Home Healthcare, LLC | Home Health | 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759 | 2007-07-13 |
| 1659488294 | Tara Guretzky | Ophthalmology | 7625 Maple Lawn Blvd Ste 200, Fulton, MD 20759 | 2006-08-23 |
| 1942347406 | Safe Harbor Christian Counseling | Counselor | 8200 Old Columbia Rd, Fulton, MD 20759-2201 | 2007-01-31 |
| 1215300827 | Safe Harbor Christian Counseling | Psychologist | 8200 Old Columbia Rd, Fulton, MD 20759-2201 | 2015-11-04 |
| Find all providers in zip 20759 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1245890177 | Jo-ann Walter Middleton | Nurse Practitioner | 11957 Lime Kiln Rd, Fulton, MD 20759-9616 | 2019-06-13 |
| 1396200408 | Paige A Nabors | Nurse Practitioner | 800 Scott Senter Rd, Fulton, MS 38843-6238 | 2019-02-02 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1730695503 | Sametta Rhoda Sanyaolu | Nurse Practitioner | 7625 Maple Lawn Blvd Ste 260, Fulton, MD 20759-2565 | 2017-12-15 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1316214182 | Lynne M Coffey | Nurse Practitioner | 1130 17th St Ste B, Fulton, IL 61252-2008 | 2011-11-22 |
| 1669775821 | Jolane Sue Conklin | Nurse Practitioner | 2221 1 1/2 Mile Rd, Fulton, MI 49052-9632 | 2010-12-09 |
| 1386813855 | Zorina Marie Pina-hauan | Nurse Practitioner | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-02-28 |
| 1336266550 | Tara B Enlow | Nurse Practitioner | 202 Interchange Dr, Fulton, MS 38843-6011 | 2007-03-23 |
| Find all providers in FULTON | ||||
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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.