MS. STACY BARTOLICH (NPI# 1427434521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427434521 |
| Entity Type | Individual |
| Full Name | MS. STACY BARTOLICH |
| Credential | CRNP |
| Practice Address |
11055 Little Patuxent Pkwy Suite 205 Columbia MD 21044-2896 |
| Mailing Address |
1111 Benfield Blvd Suite 200 Millersville MD 21108-3002 |
| Practice Telephone | 4107400789 |
| Practice Fax Number | 4107407024 |
| Mailing Telephone | 4107295100 |
| Mailing Fax Number | 4436791382 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R203983 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11055 LITTLE PATUXENT PKWY SUITE 205 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706618 | Bruce Michael Conger | Internal Medicine | 11055 Little Patuxent Pkwy, Suite103, Columbia, MD 21044-2896 | 2005-08-03 |
| 1861868622 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11055 Little Patuxent Pkwy, Suite 204, Columbia, MD 21044-2896 | 2015-08-17 |
| 1225462963 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 11055 Little Patuxent Pkwy, Suite L-1, Columbia, MD 21044 | 2013-08-29 |
| 1356645220 | Howard Open Mri LLC | Clinic/Center | 11055 Little Patuxent Pkwy, Suite L9, Columbia, MD 21044-2896 | 2011-01-06 |
| 1548562119 | St. Agnes Healthcare, Inc. | Clinic/Center | 11055 Little Patuxent Pkwy, L6, Columbia, MD 21044-2896 | 2010-12-02 |
| 1427380302 | Maryland Ivf Fertility Health & Wellness Center | Clinic/Center | 11055 Little Patuxent Pkwy, Columbia, MD 21044-2896 | 2010-02-03 |
| 1124250923 | Katherine Mansfield Houle | Social Worker | 11055 Little Patuxent Pkwy, Suite 201, Columbia, MD 21044-2896 | 2009-08-13 |
| 1336374321 | Rafeena Bacchus | Internal Medicine | 11055 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2896 | 2009-05-20 |
| 1902075997 | Charles J. Lancelotta Jr., M.d., P.a. | Specialist | 11055 Little Patuxent Pkwy, Suite L7, Columbia, MD 21044-2896 | 2008-02-25 |
| 1437335320 | Clinical Neuroscience, LLC | Psychiatry & Neurology | 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-2896 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.