JUDY LYN HETHERINGTON (NPI# 1538102603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538102603 |
| Entity Type | Individual |
| Full Name | JUDY LYN HETHERINGTON |
| Other Name | MS. JUDY LYN WENINGER |
| Credential | CRNP |
| Practice Address |
10753 Falls Road Pavilion II Baltimore MD 21093 |
| Mailing Address |
Po Box 64474 Baltimore MD 21264-4474 |
| Practice Telephone | 4108473800 |
| Practice Fax Number | 4108473805 |
| Mailing Telephone | 4105508551 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
R131559 | MD | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | R131559 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE GROUP # | C31152 | 01 |
| MD | 699815100 | 05 | |
| MD | R/R MEDICARE PROVIDER # | P00123941 | 01 |
| Street Address |
10753 FALLS ROAD PAVILION II |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616873 | Christian Rolfo | Internal Medicine | 22 S Greene St # S9d, Baltimore, MD 21201-1591 | 2018-04-18 |
| 1124344692 | William Brian Dalton | Internal Medicine | Johns Hopkins Sidney Kimmel Ctr, 1650 Orleans St. Crb1 191, Baltimore, MD 21287-0001 | 2010-04-08 |
| 1134381692 | Cesar Augusto Santa-maria | Internal Medicine | 1650 Orleans St # 155, Baltimore, MD 21287-0013 | 2008-06-26 |
| 1457495483 | Mei Tang | Internal Medicine | 6569 N Charles St Ste 201, Baltimore, MD 21204-6831 | 2007-02-15 |
| 1124185236 | Michele Kim Evans | Internal Medicine | 5600 Nathan Shock Dr, Mailbox 09 National Institute On Aging, Baltimore, MD 21224-6825 | 2007-01-02 |
| 1326159674 | Louise B Grochow | Internal Medicine | Johns Hopkins Hosp Oncology Ctg C/o Martin Abeloff, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2006-08-31 |
| 1760411326 | Ranee Mehra | Internal Medicine | 1550 Orleans St, Crb II 5m.43, Baltimore, MD 21287-0014 | 2006-07-03 |
| 1992761050 | Ivan Marques Borrello | Internal Medicine | 1650 Orleans St, Crb-1 Rm 453, Baltimore, MD 21263-0001 | 2006-04-25 |
| 1972087781 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-09-18 |
| 1780104570 | Elaine Walsh | Internal Medicine | 1650 Orleans St # 1186, Baltimore, MD 21287-0013 | 2017-06-22 |
| Find all providers in BALTIMORE | ||||
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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.