JOSE P NEPOMUCENO MD PA (NPI# 1457698706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457698706 |
Entity Type | Organization |
Organization Name | JOSE P NEPOMUCENO MD PA |
Practice Address |
7845 Oakwood Rd 103 Glen Burnie MD 21061-4256 |
Practice Telephone | 4107682048 |
Practice Fax Number | 4107689171 |
Mailing Telephone | 4107682048 |
Mailing Fax Number | 4107689171 |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |
Authorized Official Name | DR. JOSE NEPOMUCENO (PRESIDENT) |
Authorized Official Telephone | 4108021206 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D16445 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 012126 | 05 |
Street Address |
7845 OAKWOOD RD 103 |
City | GLEN BURNIE |
State | MD |
Zip Code | 21061-4256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740283027 | Ratnakar Mukherjee | Internal Medicine | 7845 Oakwood Rd, Glen Burnie, MD 21061-4280 | 2005-05-31 |
1053703595 | Horizon Medical Group LLC | Internal Medicine | 7845 Oakwood Rd, Suite 105, Glen Burnie, MD 21061-4280 | 2015-02-20 |
1851704779 | Deirdre L Courtney | Audiologist | 7845 Oakwood Rd, Glen Burnie, MD 21061-4280 | 2014-06-09 |
1689967861 | Anne Rouleau | Audiologist | 7845 Oakwood Rd, Suite 303, Glen Burnie, MD 21061-4280 | 2011-05-23 |
1235449968 | Salvacion D. Ramirez. M.d. P.a. | Internal Medicine | 7845 Oakwood Rd, Suite 307, Glen Burnie, MD 21061-4280 | 2010-10-15 |
1205140001 | Kerri Anne Jones | Nurse Practitioner | 7845 Oakwood Rd, Suite 300, Glen Burnie, MD 21061-4280 | 2010-08-04 |
1972827566 | Kaplan and Kaplan Md Pa | Internal Medicine | 7845 Oakwood Rd, Suite 300, Glen Burnie, MD 21061-4280 | 2010-03-25 |
1477741049 | Peter P Ramirez Md Pa | Internal Medicine | 7845 Oakwood Rd, Ste 200, Glen Burnie, MD 21061-4280 | 2007-10-09 |
1790848109 | United Radiology Services, LLC | Radiology | 7845 Oakwood Rd, Ste 105, Glen Burnie, MD 21061-4280 | 2006-12-18 |
1043324577 | Dave Y Choi | Surgery | 7845 Oakwood Rd, Suite # 205, Glen Burnie, MD 21061-4280 | 2006-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
Find all providers in zip 21061 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689942187 | Ebube E.odunukwe, M.d.,p.c. | Clinic/Center | 7310 Ritchie Hwy Ste 519, Glen Burnie, MD 21061-3099 | 2011-12-12 |
1386870061 | B.w. Arthritis & Rheumatology, Pa | Clinic/Center | 1406b Crain Hwy S, Suite 207, Glen Burnie, MD 21061-4099 | 2009-06-08 |
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1689295511 | Potomac Medical Aesthetics, LLC | Clinic/Center | 7811 Montrose Rd Ste 310, Potomac, MD 20854-3330 | 2020-05-01 |
1215576079 | Alexander Heilner | Clinic/Center | 614 Hollen Rd, Baltimore, MD 21212-2715 | 2019-12-27 |
1184288003 | Mjd Chiropractic LLC | Clinic/Center | 6666 Security Blvd Ste 4, Baltimore, MD 21207-4025 | 2019-04-25 |
1104383975 | Alpha Gi Care, PC | Clinic/Center | 7247 Hanover Pkwy Ste A, Greenbelt, MD 20770-3661 | 2019-02-27 |
1417430117 | Emily Clarke-pearson, Md, PC | Clinic/Center | 949 Fell St Ste B, Baltimore, MD 21231-3505 | 2018-09-10 |
1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
1063958213 | Medsultants | Clinic/Center | 10317 Kingsway Ct, Ellicott City, MD 21042-5802 | 2017-01-12 |
1124564703 | Fall Prevention and Stroke Rehab Physician, LLC | Clinic/Center | 2701 Jeremy Ct Apt E, Baltimore, MD 21209-3062 | 2017-01-06 |
1851747885 | Kempannasudhakar,md,pc | Clinic/Center | 7610 Carroll Ave Ste 230, Takoma Park, MD 20912-6312 | 2016-05-09 |
1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
Find all providers with the same taxonomy |
City | GLEN BURNIE |
Zip Code | 21061 |
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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.