JUSTIN THEODORE ROSCOE (NPI# 1487622353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487622353 |
| Entity Type | Individual |
| Full Name | JUSTIN THEODORE ROSCOE |
| Credential | M.D. |
| Practice Address |
600 Ridgely Ave Suite 123 Annapolis MD 21401-1001 |
| Mailing Address |
600 Ridgely Ave Suite 120 Annapolis MD 21401-1001 |
| Practice Telephone | 4102243614 |
| Practice Fax Number | 4102245836 |
| Mailing Telephone | 4102247795 |
| Mailing Fax Number | 4102245826 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0036008 | MD | Other Service Providers |
| Street Address |
600 RIDGELY AVE SUITE 123 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426045 | Anne Arundel Urology, Pa | Specialist | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2005-06-09 |
| 1164961744 | Chesapeake Open Mri LLC | Radiology | 600 Ridgely Ave, Suite 100, Annapolis, MD 21401-1001 | 2017-02-16 |
| 1114339447 | Kaitlin Jaqua | Urology | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2014-05-21 |
| 1629338322 | Chesapeake Hearing Centers, Inc. | Clinic/Center | 600 Ridgely Ave, Ste 110, Annapolis, MD 21401-1001 | 2012-05-29 |
| 1619236973 | Christopher Emilio Graziano | Surgery | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2012-05-08 |
| 1003108549 | Shaoqing Zhou | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2011-05-03 |
| 1457588048 | Heather Denise Langford | Speech-Language Pathologist | 600 Ridgely Ave, Suite 230, Annapolis, MD 21401-1001 | 2009-06-22 |
| 1346476462 | Bic Nhu Cung | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-06-03 |
| 1487888053 | Amy A Hoffman | Physician Assistant | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-05-11 |
| 1275730673 | Robert B. Meek, IIi, M.d.pa. | Specialist | 600 Ridgely Ave, Suite 110, Annapolis, MD 21401-1001 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720305857 | Heidi Sami | Specialist | 128 Lubrano Dr Ste 201, Annapolis, MD 21401-7028 | 2010-04-29 |
| 1982817748 | Oraann Reinheimer | Specialist | 104 Forbes Street, Suite 204, Annapolis, MD 21401 | 2007-05-08 |
| 1588680144 | Michael B Monias | Specialist | 3062 Mimon Rd, Annapolis, MD 21403-1318 | 2006-07-15 |
| 1558386532 | Ruth Marion Shaw-taylor | Specialist | 2631 Greenbriar Ln, Annapolis, MD 21401-4423 | 2006-07-12 |
| 1124073358 | Carl Daniel Laughlin | Specialist | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-7034 | 2006-05-24 |
| 1669427126 | David H Lowe | Specialist | 2448 Holly Ave., Suite 400, Annapolis, MD 21401 | 2006-05-23 |
| 1609860584 | Regional Radiology, PC | Specialist | 845 Coachway, Annapolis, MD 21401-6477 | 2005-09-07 |
| 1497752596 | Beth Erin Cunningham | Specialist | 107 Ridgely Ave 10, Annapolis, MD 21401-1417 | 2005-07-05 |
| 1164426045 | Anne Arundel Urology, Pa | Specialist | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2005-06-09 |
| 1962406777 | Raymond G. Herzinger | Specialist | 1915 Towne Centre Blvd Unit 1010, Annapolis, MD 21401-3589 | 2005-06-09 |
| Find all providers in ANNAPOLIS | ||||
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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.