DR. VESTINIA MADONNA BRIDGES (NPI# 1609808773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609808773 |
| Entity Type | Individual |
| Full Name | DR. VESTINIA MADONNA BRIDGES |
| Other Name | VESTINIA MADONNA POLK |
| Credential | M.D. |
| Practice Address |
8926 Woodyard Road Suite 701 Clinton MD 20735 |
| Practice Telephone | 3018561682 |
| Practice Fax Number | 3018560964 |
| Mailing Telephone | 3018561682 |
| Mailing Fax Number | 3018560964 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD30799 | DC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0101231874 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | D0052474 | MD | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
0101231874 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
D0052474 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD PTAN # | P00109905 | 01 | |
| DC | BCBS NCA PROVIDER# | 46950011 | 01 |
| Street Address |
8926 WOODYARD ROAD SUITE 701 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147137 | Gurbux H Nachnani | Internal Medicine | 8926 Woodyard Road, Suite 601, Clinton, MD 20735 | 2006-01-04 |
| 1548294812 | Vanessa Marie Macashet Lagera | Physical Therapist | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-07-10 |
| 1942231451 | Dennis Angelo Carlini | Orthopaedic Surgery | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-07-05 |
| 1861423212 | Chee-hahn Hung | Physical Medicine & Rehabilitation | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-07-05 |
| 1518998095 | Alan George Schreiber | Orthopaedic Surgery | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-07-05 |
| 1013948488 | John Philip Byrne | Orthopaedic Surgery | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-07-05 |
| 1932136926 | Ryan Michael Jander | Orthopaedic Surgery | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-06-27 |
| 1801823703 | Jefferey Dennis Sabloff | Orthopaedic Surgery | 8926 Woodyard Road, Suite 701, Clinton, MD 20735 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812208 | Richard Thomas Travis | Orthopaedic Surgery | 3113 Catrina Ln, Annapolis, MD 21403-4340 | 2017-10-13 |
| 1104180249 | Heather Suzanne York | Orthopaedic Surgery | 10975 Guilford Rd, Annapolis Junction, MD 20701-1125 | 2012-07-03 |
| 1598725442 | Scott P Worrell | Orthopaedic Surgery | 11110 Medical Campus Road, Suite 205, Hagerstown, MD 21742 | 2006-03-24 |
| 1215925128 | Jon D Koman | Orthopaedic Surgery | 116 Westminster Pike, Suite 100, Reisterstown, MD 21136-1027 | 2005-10-13 |
| 1083617625 | Orthopaedic and Sports Medicine Center LLC | Orthopaedic Surgery | 108 Forbes St, Annapolis, MD 21401-1502 | 2005-05-27 |
| 1023665262 | Johns Hopkins University | Orthopaedic Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1811365828 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Suite 102-104, Baltimore, MD 21215-5216 | 2015-09-08 |
| 1447636048 | Kessous & Kessous Md PC | Orthopaedic Surgery | 800 S Frederick Ave, Ste 100, Gaithersburg, MD 20877-4150 | 2015-08-05 |
| 1245632926 | Orthosurg Physician Assistants of Maryland LLC | Orthopaedic Surgery | 6430 Rockledge Dr, Suite 510, Bethesda, MD 20817-1805 | 2014-09-24 |
| 1437579596 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815 | 2014-04-16 |
| 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.