BORIS G NAYDICH (NPI# 1467419820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467419820 |
| Entity Type | Individual |
| Full Name | BORIS G NAYDICH |
| Credential | M.D. |
| Practice Address |
11340 Pembrooke Sq Suite 201 Waldorf MD 20603-4808 |
| Mailing Address |
Po Box 418837 Boston MA 02241-8837 |
| Practice Telephone | 3017055802 |
| Practice Fax Number | 3018431704 |
| Mailing Telephone | 8888465527 |
| Mailing Fax Number | 6073242369 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2012-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D0050619 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA HMO | 2696604 | 01 |
| MD | PHCS | 9048249 | 01 |
| DC | 034466600 | 05 | |
| MD | FIRST HEALTH/CCN | 1085669 | 01 |
| MD | JOHNS HOPKINS HEALTHCARE | 18985 | 01 |
| MD | UNITED HEALTHCARE | 00001407704 22 | 01 |
| MD | AMERIGROUP | 51759 | 01 |
| MD | AETNA PPO | 5729732 | 01 |
| MD | CARE FIRST BC/BS | 60332704 | 01 |
| DC | CAREFIRST BC/BS | 29020008 | 01 |
| MD | NATIONAL CAPITOL PPO | 497788 | 01 |
| MD | MAMSI | 220845 | 01 |
| MD | CIGNA | 4444286011 | 01 |
| MD | 683702600 | 05 |
| Street Address |
11340 PEMBROOKE SQ SUITE 201 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573891 | William J Delapaz | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2005-10-28 |
| 1316340201 | Medstar Southern Maryland Physicians, LLC | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2014-10-06 |
| 1427341593 | Silvia M Abularach | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2011-05-24 |
| 1033437272 | Endoscopic Associates of Waldorf Pa | Anesthesiology | 11340 Pembrooke Sq, Suite 202, Waldorf, MD 20603-4808 | 2010-05-12 |
| 1235391749 | Meghan Elizabeth Malentacchi | Obstetrics & Gynecology | 11340 Pembrooke Sq, Ste 203, Waldorf, MD 20603-4808 | 2008-06-26 |
| 1861447401 | Surgical Associates, Chartered | Surgery | 11340 Pembrooke Sq, Suite 213, Waldorf, MD 20603-4808 | 2006-05-23 |
| 1285682757 | Ashima Saini | Internal Medicine | 11340 Pembrooke Sq, Suite 201, Waldorf, MD 20603-4808 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518001163 | Kathleen M. Settle | Radiology | 11340 Pembrooke Sq Ste 201, Waldorf, MD 20603-4808 | 2007-02-16 |
| 1770874513 | Beant Singh Gill | Radiology | 11340 Pembrooke Sq Ste 201, Waldorf, MD 20603 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| Find all providers with the same taxonomy | ||||
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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.