MS. BECQUIE BERCK (NPI# 1679833206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679833206 |
| Entity Type | Individual |
| Full Name | MS. BECQUIE BERCK |
| Other Name | BECQUIE BERCK |
| Credential | PA |
| Practice Address |
5 Garrett Ave La Plata MD 20646-5960 |
| Practice Telephone | 3016094715 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21082 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 865 Patriot Dr, Suite 102, Moorpark, CA 930213407 | 8055322032 |
| Street Address |
5 GARRETT AVE |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701825 | Civista Medical Center Inc. | General Acute Care Hospital | 5 Garrett Ave, La Plata, MD 20646-5960 | 2005-06-24 |
| 1245883685 | Dena R Marseglia | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2019-07-23 |
| 1326514613 | Brandon Timothy Pace | Nurse Anesthetist, Certified Registered | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-10-15 |
| 1841776531 | Naureen Khan | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-07-16 |
| 1366932287 | Mamata Blon | Physician Assistant | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-05-16 |
| 1962910794 | Laanita Gillispie | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-01-15 |
| 1063925873 | Chelsea Dawn Hughes | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-11-15 |
| 1417479395 | Javonna O'brien | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-07-12 |
| 1841712254 | Qler Physician Medical Group, P.a. | Psychiatry & Neurology | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-07-07 |
| 1053840884 | Njideka Oguejiofor | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346415890 | Brandi Rae Senior | Physician Assistant | 16 N La Plata Ct, La Plata, MD 20646-4283 | 2008-04-25 |
| 1730296401 | Danielle Telesford | Physician Assistant | 701 Charles St, La Plata, MD 20646-5930 | 2006-08-25 |
| 1407816572 | Julie D Winkler | Physician Assistant | 16 N La Plata Ct, La Plata, MD 20646-4283 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
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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.