EVA S DOMOTORFFY (NPI# 1568433233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568433233 |
| Entity Type | Individual |
| Full Name | EVA S DOMOTORFFY |
| Credential | PEDIATRIC NURSE PRAC |
| Practice Address |
250 Wood Rd Annapolis MD 21402-1257 |
| Practice Telephone | 4102934378 |
| Mailing Telephone | 4102934378 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R160374 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 WOOD RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21402-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077847 | Jitendrakumar Rajnikant Modi | Pediatrics | 250 Wood Rd, Nhcl Annapolis (pediatrics), Annapolis, MD 21402-1257 | 2005-07-19 |
| 1164776597 | Jennifer Christine Griffeth | Dentist | 250 Wood Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402-1257 | 2012-11-07 |
| 1497004840 | Jan Rainier Anova | Military Health Care Provider | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-08-30 |
| 1720350135 | Amelia Ross Olson | Physician Assistant | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-01-31 |
| 1629349394 | John Davod Munyan | Military Health Care Provider | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-01-26 |
| 1053614891 | Christian Alan Shotwell | Clinical Nurse Specialist | 250 Wood Rd, Annapolis, MD 21402-1257 | 2010-12-17 |
| 1477782480 | Brittany Juree Klass | Optometrist | 250 Wood Rd, Annapolis, MD 21402-1257 | 2009-07-11 |
| 1164578399 | Eileen S Tidd | Internal Medicine | 250 Wood Rd, Annapolis, MD 21402-1257 | 2007-01-29 |
| 1942309364 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-09-22 |
| 1528013414 | Naval Health Clinic Annapolis | Clinic/Center | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404656 | Karen Ruth Taylor | Social Worker | Usna - Midshipmen Development Center, Bancroft Hall 8m38a, Annapolis, MD 21402 | 2016-05-06 |
| 1710974902 | Ruben Del Pilar | Family Medicine | Naval Health Clinic Annapolis, 250 Wood Road, Annapolis, MD 21402 | 2005-10-03 |
| 1891789137 | Raymond Donald Chronister | Specialist/Technologist | Physical Education, Field House, U. S. Naval Academy, Annapolis, MD 21402 | 2005-09-01 |
| 1649682162 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 | 2014-06-02 |
| 1619303484 | Melanie Cooper Carmody | Pharmacist | 250 Wood Road, Nhc Annapolis, Annapolis, MD 21402 | 2013-09-24 |
| 1770599060 | Collette Stevenson | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-31 |
| 1447272505 | Michelle M. Decker | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1851313936 | Eunice Smith | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1316229701 | Shields Vision | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2011-09-13 |
| 1124259718 | Anchor Eyecare Annapolis | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2009-07-31 |
| Find all providers in zip 21402 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1902891344 | Gina Ann Friel | Nurse Practitioner | 200 Forbes St, Annapolis, MD 21401-1538 | 2005-09-13 |
| 1134773138 | Alison Marie Lyon Rodriguez | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401-1527 | 2019-07-29 |
| 1619418712 | Amanda Woodwell Alberotanza | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401 | 2017-03-09 |
| 1104279934 | Jennifer M Redmond | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2016-07-17 |
| 1477914638 | Shaun Tompkins Fritz | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2016-03-16 |
| 1659705077 | Leah Kelly | Nurse Practitioner | 200 Forbes St Ste 200, Annapolis, MD 21401-1599 | 2013-08-22 |
| 1861755928 | Nichole Elizabeth Tucker | Nurse Practitioner | 200 Forbes St, Ste 200, Annapolis, MD 21401-1538 | 2012-06-22 |
| 1326312729 | Michelle Elizabeth Schall | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2012-03-02 |
| 1255572970 | Kay Pessagno | Nurse Practitioner | 200 Forbes St, Suite 200, Annapolis, MD 21401-1538 | 2009-03-09 |
| Find all providers in ANNAPOLIS | ||||
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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.