DR. EDWARD GAYNOR RUPERT (NPI# 1528180684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528180684 |
| Entity Type | Individual |
| Full Name | DR. EDWARD GAYNOR RUPERT |
| Credential | M.D.,P.A. |
| Practice Address |
8000 Knollwood St Brandywine MD 20613-7656 |
| Practice Telephone | 3013721689 |
| Practice Fax Number | 3013721689 |
| Mailing Telephone | 3013721689 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
D0021364 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS OF MD | 7114 | 01 |
| DC | BCBSNCA | 3521 | 01 |
| Street Address |
8000 KNOLLWOOD ST |
| City | BRANDYWINE |
| State | MD |
| Zip Code | 20613-7656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176018 | Joseph Delonte Snider | Social Worker | 15912 Crain Hwy Ste B174, Brandywine, MD 20613 | 2018-03-01 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1619418001 | Delante Mckinnon | Home Health Aide | 13306 Craine Hwy, Brandywine, MD 20613 | 2017-03-17 |
| 1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
| 1053779116 | Medstar Surgery Center At Brandywine, LLC | Clinic/Center | 13950 Brandywine Road, Suite 100, Brandywine, MD 20613 | 2016-02-04 |
| 1649654948 | Innersense Behavioral Health, Inc. | Counselor | 13508 Stoney Creek Lane, Brandywine, MD 20613 | 2015-07-16 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1376829804 | Danielle Lasure-bryant | Counselor | 11600 Cedarville Road, Brandywine, MD 20613 | 2011-10-28 |
| 1164664405 | Adenike Olayinka Gbenle | Dentist | 7450 Clymer Dr, Brandywine, MD 20613 | 2009-04-01 |
| 1841466919 | Communit Support System 'css LLC'. | Home Health | 6307 Brechib Dr, Brandywine, MD 20613 | 2008-05-07 |
| Find all providers in zip 20613 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234021 | Nathan Ryan Lewis | Emergency Medicine | 30049 Mount Vernon Rd, Princess Anne, MD 21853-2251 | 2019-09-18 |
| 1578942223 | Access Now Urgent Care LLC | Emergency Medicine | 11406 Georgia Ave Ste F, Wheaton, MD 20902-1944 | 2015-05-28 |
| 1427266261 | Alisa Mae Larbalestrier | Emergency Medicine | 301 Hospital Drive, Emergency Department, Baltimore Washington Medical Center, Glen Burnie, MD 21061 | 2007-05-17 |
| 1194857797 | Robert Redwood Bass | Emergency Medicine | 653 W Pratt St, Baltimore, MD 21201-1536 | 2007-03-09 |
| 1578586483 | Joseph S. Fastow | Emergency Medicine | 200 Memorial Hospital, Prince Frederick, MD 20678 | 2006-07-25 |
| 1598795510 | Chester Walk-in Center | Emergency Medicine | 1114 Didonato Dr, Chester, MD 21619-2663 | 2006-07-04 |
| 1083657761 | Eddie Alejandro Fernandez | Emergency Medicine | 831 University Blvd E # 24-25, Silver Spring, MD 20903-2916 | 2006-06-13 |
| 1558327031 | John R. Greene IIi | Emergency Medicine | 251 Harry S Truman Dr, Apt 31, Largo, MD 20774-2044 | 2006-04-25 |
| 1134117393 | Emergency Medicine Associates P.a., P.C. | Emergency Medicine | 11890 Healing Way, Silver Spring, MD 20904-7917 | 2005-10-12 |
| 1598752271 | Joseph S Crisanti | Emergency Medicine | 12547 Ocean Gateway, Ocean City, MD 21842-9341 | 2005-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BRANDYWINE |
| Zip Code | 20613 |
Please comment or provide details below to improve the information on DR. EDWARD GAYNOR RUPERT.
| 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.