ISAAC QUINN DUCHARME (NPI# 1528688454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528688454 |
| Entity Type | Individual |
| Full Name | ISAAC QUINN DUCHARME |
| Practice Address |
12502 Willowbrook Rd Cumberland MD 21502-6491 |
| Mailing Address |
Po Box 1671 Cumberland MD 21501-1671 |
| Practice Telephone | 2409648740 |
| Mailing Telephone | 2409648354 |
| Mailing Fax Number | 2409648337 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C07624 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C07624 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12500 Willowbrook Rd, Cumberland, MD 215026393 | 2409648724 | 2409648735 |
| Street Address |
12502 WILLOWBROOK RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-6491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677908 | Jose T Loveria | Internal Medicine | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2005-05-31 |
| 1215536008 | Jade Hensinger | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-10-22 |
| 1801351978 | Anne P Nguyen | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2019-02-04 |
| 1750867362 | Krystal Abucevicz-swick | Nurse Practitioner | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-07-17 |
| 1194212688 | Taylor E Douthitt | Counselor | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-04-19 |
| 1881196681 | Tammy Collette | Nurse Practitioner | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-03-07 |
| 1487161501 | Allison Mckenna Rich | Dietitian, Registered | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-01-10 |
| 1396273520 | Sheena Marie Willison Buskirk | Family Medicine | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2017-06-01 |
| 1114451374 | Ann Beeman | Social Worker | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 | 2017-04-14 |
| 1326580473 | Diana Dawn Pryor | Nurse Practitioner | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1609249127 | Jared Lancaster | Physician Assistant | 625 Kent Ave, Suite 102, Cumberland, MD 21502-3794 | 2015-11-05 |
| 1285887133 | Westley Travis Hartley | Physician Assistant | 12502 Willowbrook Rd, Ste 500, Cumberland, MD 21502-6491 | 2008-10-23 |
| 1922094853 | Tracy A Evans | Physician Assistant | 2138 Mendon Rd, Suite 302, Cumberland, RI 02864-3834 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| 1023557618 | Jerome J Upchurch | Physician Assistant | 15811 Chagall Ter, North Potomac, MD 20878-3461 | 2017-02-16 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.