DR. ANSELMO G MAMARIL (NPI# 1427398544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427398544 |
| Entity Type | Individual |
| Full Name | DR. ANSELMO G MAMARIL |
| Other Name | DR. ANSELMO G MAMARIL |
| Credential | M.D. |
| Practice Address |
12505 Canter Ln Ellicott City MD 21042-1201 |
| Practice Telephone | 4109889763 |
| Practice Fax Number | 4109889763 |
| Mailing Telephone | 4109889763 |
| Mailing Fax Number | 4109889763 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
D08294 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
12505 CANTER LN |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114321767 | Charm City Primary Care, PC | Preventive Medicine | 2220 Reisterstown Rd, Baltimore, MD 21217-1928 | 2014-10-10 |
| 1184048704 | George Gebus | Preventive Medicine | 7158 Oberlin Cir, Frederick, MD 21703-9484 | 2014-02-18 |
| 1871840249 | Stephanie Sayre Smith | Preventive Medicine | 10202 Colesville Rd, Silver Spring, MD 20901-2428 | 2012-08-05 |
| 1003195157 | Irving Isar Kessler | Preventive Medicine | 3404 Bancroft Road, Baltimore, MD 21215 | 2011-08-08 |
| 1306157854 | Terrence Alan Bidnick | Preventive Medicine | Code 250 9, Goddard Space Flight Center, Greenbelt, MD 20771-0001 | 2010-06-30 |
| 1548418726 | Devesh Dhruva Kanjarpane | Preventive Medicine | 6041 Winter Grain Path, Clarksville, MD 21029-1224 | 2008-08-30 |
| 1730335258 | Janet Nmi Fujikawa | Preventive Medicine | 8812 Mourning Dove Ct, Gaithersburg, MD 20879-1775 | 2008-08-15 |
| 1790958270 | James Michael Schmitt | Preventive Medicine | 12119 Whippoorwill Ln, Rockville, MD 20852-4445 | 2008-04-07 |
| 1396880803 | Ross S. Myerson | Preventive Medicine | 10507 Greenacres Dr, Silver Spring, MD 20903-1212 | 2007-02-21 |
| 1194872036 | William Pawluk | Preventive Medicine | 10210 S Dolfield Rd, Owings Mills, MD 21117-3633 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.