DR. PATRICIA POLK JETT (NPI# 1609877018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609877018 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA POLK JETT |
| Credential | M.D. |
| Practice Address |
129 Lubrano Dr Suite 100 Annapolis MD 21401-7566 |
| Mailing Address |
1111 Benfield Blvd Suite 200 Millersville MD 21108-3002 |
| Practice Telephone | 4102665852 |
| Practice Fax Number | 4102665095 |
| Mailing Telephone | 4107295100 |
| Mailing Fax Number | 4107295156 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D50756 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RAILROAD MEDICARE | 080093090 | 01 |
| MD | CAREFIRST RENDERING | 544390-02 | 01 |
| MD | CAREFIRST MPOS | P14116 | 01 |
| MD | CIGNA PROVIDER NUMBER | 2171119 | 01 |
| MD | 452011400 | 05 | |
| MD | AETNA FEE FOR SERVICE | 5743200 | 01 |
| MD | CAREFIRST BLUECHOICE | 7605-0014 | 01 |
| MD | AETNA CAPITATED | 0597124 | 01 |
| MD | JHHC PROVIDER NUMBER | 031003 | 01 |
| MD | MAMSI SPECIALIST | 260241 | 01 |
| MD | MAMSI PRIMARY CARE | 860241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767566 | Patricia L Jett | Pediatrics | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2005-08-17 |
| Street Address |
129 LUBRANO DR SUITE 100 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985676 | Michael Scott Riebman | Family Medicine | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 | 2005-07-13 |
| 1184090144 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 129 Lubrano Dr, Suite 303, Annapolis, MD 21401-7564 | 2015-08-13 |
| 1205267366 | Ellen Parr | Physical Therapist | 129 Lubrano Dr, #301, Annapolis, MD 21401-7564 | 2013-11-27 |
| 1952669798 | Jutton Surgical Services, LLC | Surgery | 129 Lubrano Dr, L 101, Annapolis, MD 21401-7564 | 2012-04-30 |
| 1750657268 | Annapolis Allergy & Asthma LLC | Allergy & Immunology | 129 Lubrano Dr, Suite 200, Annapolis, MD 21401-7564 | 2012-03-29 |
| 1346520699 | Center for Gyn Surgery | Specialist | 129 Lubrano Dr, Suite 101, Annapolis, MD 21401-7564 | 2011-08-18 |
| 1407144561 | Jennifer Burton Barnard | Physical Therapist | 129 Lubrano Dr, Ste 201, Annapolis, MD 21401-7564 | 2011-07-11 |
| 1669616520 | Nnemdi Amanda Baird-cross | Family Medicine | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7564 | 2009-04-22 |
| 1962678649 | Stella Lii Blosser | Obstetrics & Gynecology | 129 Lubrano Dr, Suite 101, Annapolis, MD 21401-7564 | 2008-05-02 |
| 1114195112 | Tyson Gary Bross | Dentist | 129 Lubrano Dr, Suite 300, Annapolis, MD 21401-7564 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850334 | Anne Arundel Physician Group, LLC | Family Medicine | 1332 Cape St Claire Rd, Annapolis, MD 21409-5216 | 2019-09-17 |
| 1275190159 | Focal Integrated Healthcare | Family Medicine | 1125 West St Ste 235, Annapolis, MD 21401-3607 | 2019-05-25 |
| 1285020040 | Christine Elizabeth Jones | Family Medicine | 129 Lubrano Dr Ste 100, Annapolis, MD 21401 | 2015-04-08 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1558522458 | Donald Hugh Hislop | Family Medicine | 1887 Ritchie Hwy, Annapolis, MD 21409-6229 | 2008-06-23 |
| 1902096431 | Charles R. Staubs | Family Medicine | 88 Dewey Dr, Annapolis, MD 21401-2271 | 2007-07-31 |
| 1710100474 | Mark Garzon | Family Medicine | 1910 Towne Centre Blvd, Suite 210, Annapolis, MD 21401-3598 | 2007-04-11 |
| 1285670711 | Ramona G. Seidel, M.d., LLC | Family Medicine | 530 College Pkwy, Annapolis, MD 21409-4614 | 2006-06-22 |
| 1922048271 | Donald Cornelius Roane | Family Medicine | 1616 Forest Dr, Suite 1, Annapolis, MD 21403-1019 | 2006-06-07 |
| 1235179672 | Kari Fai Alperovitz-bichell | Family Medicine | 701 Glenwood St, Annapolis, MD 21401-2350 | 2006-06-07 |
| 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.