MR. NICHOLAS FRANCIS WUNDER (NPI# 1508839499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508839499 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS FRANCIS WUNDER |
| Credential | PA-C |
| Practice Address |
995 Hospitality Way Aberdeen MD 21001-1755 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 4103067880 |
| Practice Fax Number | 4103067881 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002595 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
995 HOSPITALITY WAY |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639504947 | Kimberly Lynn Harmon | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2013-09-05 |
| 1376808667 | Smita Massey-gomez | Internal Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2012-07-12 |
| 1215245485 | Jennifer Wylie Watts | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2010-09-21 |
| 1093034811 | Patient First Maryland Medical Group Pllc | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001 | 2010-05-18 |
| 1831415868 | Maryland Medical Group, Pllc | Non-Pharmacy Dispensing Site | 995 Hospitality Way, Aberdeen, MD 21001 | 2010-04-15 |
| 1518002484 | Julianne Ina Davis | Physician Assistant | 995 Hospitality Way, Patient First, Aberdeen, MD 21001-1755 | 2007-02-20 |
| 1063504264 | Oliver Schoonmaker Thresher Jr. | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-09-28 |
| 1104840651 | Jason M Fay | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-07-27 |
| 1174552012 | Bruce C Kinzinger | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-07-02 |
| 1376509075 | John Merren Byrne | Internal Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013389683 | Amber Vasold | Physician Assistant | 16 Aberdeen Shopping Plz, Aberdeen, MD 21001-2247 | 2015-10-22 |
| 1679757884 | Jennifer Lee Kurman | Physician Assistant | 744 S Philadelphia Blvd Ste B, Aberdeen, MD 21001-3602 | 2007-12-24 |
| 1154396547 | Sarah Elizabeth Harr Jensen | Physician Assistant | 815 1st Ave Se Ste 104, Aberdeen, SD 57401-4602 | 2006-02-21 |
| 1881012037 | Shaun Emory Smith | Physician Assistant | 915 Anderson Drive, Grays Harbor Community Hospital, Aberdeen, WA 98520 | 2014-04-04 |
| 1912334699 | Christopher Muldoon | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2013-09-26 |
| 1033543855 | Phyllis L. Barks | Physician Assistant | 1006 N H St Fl 4, Aberdeen, WA 98520-2521 | 2013-08-28 |
| 1205188786 | Brian Earl Goody | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2012-10-09 |
| 1174815088 | Avera St. Luke's | Physician Assistant | 615 6th Ave Se, Aberdeen, SD 57401 | 2011-05-11 |
| 1215240049 | Luciano Luis Figueroa | Physician Assistant | 191 Constantine Way, Aberdeen, WA 98520-9504 | 2010-07-21 |
| 1073840401 | Heather Ann Schaper | Physician Assistant | 306 N Main St, Aberdeen, ID 83210-0000 | 2009-11-05 |
| Find all providers in ABERDEEN | ||||
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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.