MR. MARC JOSEPH MOLLO (NPI# 1699233460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699233460 |
| Entity Type | Individual |
| Full Name | MR. MARC JOSEPH MOLLO |
| Credential | ATC |
| Practice Address |
2755 Augustine Herman Hwy Chesapeake City MD 21915-1408 |
| Mailing Address |
16 Penn Dr Sewell NJ 08080-1720 |
| Practice Telephone | 4108852075 |
| Mailing Telephone | 6099805132 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A0000995 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2755 AUGUSTINE HERMAN HWY |
| City | CHESAPEAKE CITY |
| State | MD |
| Zip Code | 21915-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407391311 | Christopher Hartman | Specialist/Technologist, Other | 2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408 | 2016-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770681645 | Volunteer Fire Company No 1 of Chesapeake City Incorporated | Ambulance | 215 Lock St, Chesapeake City, MD 21915-1013 | 2006-09-21 |
| 1447884416 | Jay Marie Durrett | Counselor | 872 Biddle St, Chesapeake City, MD 21915-1029 | 2020-02-27 |
| 1215071279 | Karen S. Webster | Midwife | 405 George St, Chesapeake City, MD 21915-1239 | 2007-02-16 |
| 1922500263 | Jennifer Mae Graf | Specialist/Technologist | 2755 Augustine Herman Hwy # Md21915, Chesapeake City, MD 21915-1408 | 2018-03-02 |
| 1538643101 | Michele Monique Schmitt | Registered Nurse | 2533 Augustine Herman Hwy Ste A, Chesapeake City, MD 21915-1414 | 2018-09-19 |
| 1730282666 | Shahnawaz Ahmed Khan | Legal Medicine | 2533 Augustine Herman Hwy, Suite A, Chesapeake City, MD 21915-1414 | 2006-09-06 |
| 1043514797 | Family Medical Care Associates, LLC | Family Medicine | 2533 Augustine Herman Hwy, Suite A, Chesapeake City, MD 21915-1414 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447884416 | Jay Marie Durrett | Counselor | 872 Biddle St, Chesapeake City, MD 21915-1029 | 2020-02-27 |
| 1538643101 | Michele Monique Schmitt | Registered Nurse | 2533 Augustine Herman Hwy Ste A, Chesapeake City, MD 21915-1414 | 2018-09-19 |
| 1215071279 | Karen S. Webster | Midwife | 405 George St, Chesapeake City, MD 21915-1239 | 2007-02-16 |
| 1770681645 | Volunteer Fire Company No 1 of Chesapeake City Incorporated | Ambulance | 215 Lock St, Chesapeake City, MD 21915-1013 | 2006-09-21 |
| 1730282666 | Shahnawaz Ahmed Khan | Legal Medicine | 2533 Augustine Herman Hwy, Suite A, Chesapeake City, MD 21915-1414 | 2006-09-06 |
| 1043514797 | Family Medical Care Associates, LLC | Family Medicine | 2533 Augustine Herman Hwy, Suite A, Chesapeake City, MD 21915-1414 | 2011-01-10 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500263 | Jennifer Mae Graf | Specialist/Technologist | 2755 Augustine Herman Hwy # Md21915, Chesapeake City, MD 21915-1408 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253928 | Haleemah Muhaymin | Specialist/Technologist | 4701 Cedar Ct, Beltsville, MD 20705-2849 | 2020-10-24 |
| 1093328775 | Meghan Rose Pugh | Specialist/Technologist | 411 Penwood Dr, Edgewater, MD 21037-3441 | 2020-08-24 |
| 1023620978 | Tyler Francis Miller | Specialist/Technologist | 103 Cara Cove Rd, North East, MD 21901-5405 | 2020-08-21 |
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1164031811 | Deshanae Michelle Meaders | Specialist/Technologist | 2742 Lorring Dr Apt 204, District Heights, MD 20747-3434 | 2020-07-29 |
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1871118810 | Jordyn Milan Brown | Specialist/Technologist | 9 Lee Airpark Dr # 400, Edgewater, MD 21037-1229 | 2020-06-16 |
| 1184249567 | Kirsten Helman | Specialist/Technologist | 23327 Ringgold Pike, Smithsburg, MD 21783-1114 | 2020-06-11 |
| 1902428188 | Dwanye D Molock | Specialist/Technologist | 11550 Crossroads Cir Unit 649, Middle River, MD 21220-2994 | 2020-05-11 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE CITY |
| Zip Code | 21915 |
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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.