PAUL MATTHEW MCNEILL (NPI# 1437111960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437111960 |
| Entity Type | Individual |
| Full Name | PAUL MATTHEW MCNEILL |
| Credential | MD |
| Practice Address |
77 Thomas Johnson Dr Suite E Frederick MD 21702-4893 |
| Mailing Address |
77 Thomas Johnson Dr Ste E Frederick MD 21702-4893 |
| Practice Telephone | 3016958346 |
| Practice Fax Number | 3016687819 |
| Mailing Telephone | 3016958346 |
| Mailing Fax Number | 3016245837 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0045892 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1165 Imperial Dr Ste 202, Hagerstown, MD 217406583 | 8666958346 | 3016245837 |
| 6410 Rockledge Dr Ste 500, Bethesda, MD 208171843 | 3015810170 | 3016245837 |
| 1982 Scotland Ave Ste A, Chambersburg, PA 172011450 | 8666958346 | 3016245837 |
| Street Address |
77 THOMAS JOHNSON DR SUITE E |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302313 | Joseph Louis Camacho | Dentist | 77 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4893 | 2005-11-07 |
| 1205346079 | Susan Elizabeth Cottrell | Nurse Practitioner | 77 Thomas Johnson Dr, Suite E, Frederick, MD 21702 | 2017-10-06 |
| 1508314857 | Kristin Mauerhan Keeley | Nurse Practitioner | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2016-09-15 |
| 1124440359 | Cynthia J Moorman Md,pa | Clinic/Center | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2014-01-07 |
| 1417118407 | Msc Ambulatory Surgical Center, LLC | Clinic/Center | 77 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4893 | 2008-06-23 |
| 1841488954 | Elizabeth A. Liotta, M.d.,l.l.c | Specialist | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2007-10-15 |
| 1508911850 | Heather N Demory | Physician Assistant | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2007-01-25 |
| 1528113040 | Cynthia J. Moorman, M.d., P.a. | Urology | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2007-01-24 |
| 1962583955 | Elizabeth Ann Liotta | Dermatology | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2006-10-18 |
| 1588760607 | Dr Behnaz Yalda Inc | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336245075 | Maryland Surgical Care PC | Surgery | 77 Thomas Johnson Dr Ste E, Frederick, MD 21702-4893 | 2006-09-16 |
| 1942262480 | Garth David Rosenberg | Surgery | 77 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4893 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
| 1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
| 1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
| 1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
| 1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
| 1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
| 1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
| 1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
| 1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
| 1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
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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.