MR. JUAN CARLOS ZELAYA (NPI# 1578566790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578566790 |
| Entity Type | Individual |
| Full Name | MR. JUAN CARLOS ZELAYA |
| Credential | PA-C |
| Practice Address |
12145 Elm St Princess Anne MD 21853-1358 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4106515135 |
| Practice Fax Number | 4106514682 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0001571 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
12145 ELM ST |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800834 | Colleen Amber Snitzer | Social Worker | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-10-29 |
| 1649888439 | Leena Samuel Saj | Nurse Practitioner | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-07-17 |
| 1447886205 | Madalyne Suzanne Adams | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-03-12 |
| 1639722259 | Rachel Nicole Thomas | Social Worker | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-23 |
| 1265085021 | Robin Jinette Kristall | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-22 |
| 1396306270 | James Alan Porter | Registered Nurse | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-06-22 |
| 1518520832 | Devon Adam Bryant Jr. | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-04-22 |
| 1841763448 | Walter Holmes | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-01-07 |
| 1578035093 | Kevin King | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2018-12-21 |
| 1144707100 | Julie Megan Garner | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942504295 | Kevin Michael Meadowcroft | Physician Assistant | 12208 Brittingham Ln, Princess Anne, MD 21853-2214 | 2010-12-30 |
| 1306092721 | David Christopher Ford | Physician Assistant | 12302 Somerset Ave Ste Ab, Princess Anne, MD 21853-3099 | 2008-08-18 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1336683002 | Somerset Weight and Sleep Management | Physician Assistant | 12302 Somerset Ave, Suite A, Princess Anne, MD 21853-3099 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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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.