ORAL SURGERY OF MARYLAND, LLC JEROME CASPER SOLE MBR (NPI# 1528628401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528628401 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY OF MARYLAND, LLC JEROME CASPER SOLE MBR |
| Practice Address |
2 Hamill Rd Ste 266 Baltimore MD 21210-1894 |
| Mailing Address |
1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 |
| Practice Telephone | 4104358100 |
| Mailing Telephone | 7706921000 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | TAMONIA LEONARD (CREDENTIALING SPECAILST) |
| Authorized Official Telephone | 6782444844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
2 HAMILL RD STE 266 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306335468 | Adam Elrafei | Dentist | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2018-05-04 |
| 1275169849 | Ilsa Lynn West | Dentist | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2020-03-16 |
| 1487113841 | Dentistry for Children of Maryland, LLC | Clinic/Center | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
| Find all providers in zip 21210 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891172581 | Andrew Bookwalter Dds LLC | Clinic/Center | 314 Franklin Ave Ste 401, Berlin, MD 21811-1263 | 2015-05-01 |
| 1417206970 | Jarred Abel, Dds, PC | Clinic/Center | 5530 Wisconsin Ave. Suite 930, Chevy Chase, MD 20815 | 2012-08-30 |
| 1457913907 | Akeso Orofacial Surgery, LLC | Clinic/Center | 13934 Baltimore Ave, Laurel, MD 20707-5000 | 2019-07-05 |
| 1780199166 | Kian Djawdan Dmd Pa | Clinic/Center | 200 Harry S Truman Pkwy, Annapolis, MD 21401-7601 | 2017-12-07 |
| 1518329614 | Chevy Chase Implant & Oral Surgery. L.L.C. | Clinic/Center | 5550 Friendship Blvd Ste 250, Chevy Chase, MD 20815-7296 | 2016-03-28 |
| 1164896395 | Glen Burnie Oral Surgery Associates PC | Clinic/Center | 300 Hospital Dr, # 237, Glen Burnie, MD 21061-6902 | 2015-11-27 |
| 1316310634 | Elyassi's Greenbelt Oral and Facial Surgery | Clinic/Center | 7525 Greenway Center Dr, Suite 109, Greenbelt, MD 20770-3509 | 2015-11-09 |
| 1750774667 | Ross & Abel, LLC | Clinic/Center | 5530 Wisconsin Ave, Suite 640, Chevy Chase, MD 20815-4404 | 2015-03-17 |
| 1891039988 | Washington Oral Surgery Center, LLC | Clinic/Center | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2012-11-15 |
| 1376892018 | Dr. Leonard Goldman, Pa | Clinic/Center | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1663 | 2012-09-07 |
| 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.