JOSE MA (NPI# 1518904648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518904648 |
| Entity Type | Individual |
| Full Name | JOSE MA |
| Credential | MD |
| Practice Address |
4853 Pulaski Hwy Ste 300 Perryville MD 21903-1606 |
| Mailing Address |
210 Chesapeake Blvd Elkton MD 21921-6395 |
| Practice Telephone | 4106422289 |
| Mailing Telephone | 4106200545 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0044716 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE | K729U499 | 01 |
| MD | 142661300 | 05 |
| Street Address |
4853 PULASKI HWY STE 300 |
| City | PERRYVILLE |
| State | MD |
| Zip Code | 21903-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831568286 | Kimberly Savage | Nurse Practitioner | 703 Rustic Court, Perryville, MD 21903 | 2015-09-16 |
| 1396989927 | Lee Ann Nelson Physical Therapy LLC | Physical Therapist | 4899 Pulaski Highway, Suite A, Perryville, MD 21903 | 2009-04-27 |
| 1407026891 | Sunshine Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 304 Aiken Avenue Unit C, Perryville, MD 21903 | 2008-03-03 |
| 1770669798 | Hoai An Truong | Pharmacist | 5319 Pulaski Highway, Perryville, MD 21903 | 2006-10-31 |
| 1073521431 | Nicole Fay Di Giovanni | Social Worker | 11 A Owenslanding Ct., Perryville, MD 21903 | 2006-08-03 |
| 1922246206 | Union Hospital of Cecil County | Radiology | 4863 Pulaski Hwy, Ste 100 Principio Health Center, Perryville, MD 21903 | 2009-01-26 |
| 1932294303 | Eugene Sloan Craig Jr. | Internal Medicine | Vamhcs, Perry Point, MD 21903 | 2006-10-03 |
| 1619926623 | Heather Mccoy Blackiston | Chiropractor | 4925 Pulaski Hwy Ste B, Perryville, MD 21903-1605 | 2006-05-08 |
| 1740405604 | North East Chiropractic Pa | Physical Therapist | 4925 Pulaski Hwy Ste B, Perryville, MD 21903-1605 | 2007-04-16 |
| 1497137293 | Ati Holdings, LLC | Occupational Therapist | 4853 Pulaski Hwy Ste 315, Perryville, MD 21903-1606 | 2015-06-29 |
| Find all providers in zip 21903 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831289214 | Arkansas Health Group | Family Medicine | 518 N Fourche Ave, Perryville, AR 72126-9701 | 2006-10-13 |
| 1508972233 | Patrick O'hara | Family Medicine | 1314 Brenda Ave, Perryville, MO 63775-2303 | 2006-08-23 |
| 1609882497 | Melissa Dian Seme | Family Medicine | 313 W. Main Street, Perryville, AR 72126 | 2006-07-31 |
| 1336170224 | Brian P Morley | Family Medicine | 624 Old Saint Marys Rd Ste A, Perryville, MO 63775-1837 | 2006-07-06 |
| 1487655619 | Darryl A Green | Family Medicine | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2005-08-10 |
| 1699111781 | Theodore Rogers | Family Medicine | 212 Hospital Ln Ste 101, Perryville, MO 63775 | 2013-05-15 |
| 1851682025 | Immediate Convenient Care-perryville, LLC | Family Medicine | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2011-04-22 |
| 1780776450 | David E. Melchior | Family Medicine | 212 Hospital Lane, Suite 101, Perryville, MO 63775-4204 | 2006-09-29 |
| 1861584534 | Mark B. Schabbing | Family Medicine | 212 Hospital Lane, Suite 101, Perryville, MO 63775-4204 | 2006-09-29 |
| 1942392618 | Laurie A. Womack | Family Medicine | 212 Hospital Lane, Suite 101, Perryville, MO 63775-4204 | 2006-09-29 |
| Find all providers in PERRYVILLE | ||||
| City | PERRYVILLE |
| Zip Code | 21903 |
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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.