DR. JENNIFER DANIELLA SON (NPI# 1619395290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619395290 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER DANIELLA SON |
| Credential | M.D. |
| Practice Address |
18101 Prince Philip Dr Olney MD 20832-1514 |
| Practice Telephone | 3012603292 |
| Practice Fax Number | 3012603293 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 125064690 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
D0090346 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750577078 | Jennifer Son | Radiology | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2007-09-20 |
| Street Address |
18101 PRINCE PHILIP DR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922341 | Montgomery General Hospital, Inc. | General Acute Care Hospital | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2005-06-15 |
| 1922619402 | Casey Lee Yelton | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-08-10 |
| 1407477383 | Sandy Gay Wiese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-05-01 |
| 1053952531 | Letha Menon Sunil | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-10-04 |
| 1588211106 | Rachel Danielle Teicher | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-08-19 |
| 1871146928 | Alexandria Daniel | Emergency Medicine | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-07-18 |
| 1053874321 | Medstar Medical Group II LLC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-04-12 |
| 1699247395 | Benjamin Labovitz | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-12-19 |
| 1659846269 | Julie Martina Perta | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-10-10 |
| 1760994925 | Amanda Freese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
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| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730466640 | Udai S. Kammula | Surgery | 6514 Democracy Blvd, Bethesda, MD 20817-1679 | 2011-11-05 |
| 1093962581 | Udo Rudloff | Surgery | Center for Cancer Research Ccr Nci Nih, Hatfield Center, Room 4-5940, 10 Center Drive, Bethesda, MD 20892-0001 | 2008-08-26 |
| 1912105495 | Cherif Boutros | Surgery | 305 Hospital Drive, Tate Center, Glen Burnie, MD 21061 | 2007-07-06 |
| 1972721009 | John Milburn Jessup | Surgery | 8012 Coach St, Potomac, MD 20854-3809 | 2007-04-23 |
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1922635531 | Lumiri Surgical LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-03-24 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1205199874 | Richard Birkett | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-06-19 |
| 1730457102 | Francesco Maria Marincola | Surgery | 9000 Rockville Pike, Bethesda, MD 20892-0001 | 2011-12-13 |
| 1073880183 | Sinai Hospital of Baltimore, Inc | Surgery | 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216 | 2011-11-18 |
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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.