MARK OB PEELER MD PA (NPI# 1700113032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700113032 |
Entity Type | Organization |
Organization Name | MARK OB PEELER MD PA |
Practice Address |
1630 Main St Suite 213 Chester MD 21619-2791 |
Mailing Address |
Po Box 64323 Baltimore MD 21264-4323 |
Practice Telephone | 4102661188 |
Practice Fax Number | 4102669466 |
Mailing Telephone | 4434816549 |
Mailing Fax Number | 4434816515 |
Enumeration Date | 2009-11-06 |
Last Update Date | 2010-02-22 |
Authorized Official Name | MARK PEELER (OWNER) |
Authorized Official Telephone | 4434816464 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225006919 | Mark Ob Peeler Md Pa | Surgery | 2002 Medical Pkwy, Suite 520, Annapolis, MD 21401-3046 | 2006-03-09 |
Street Address |
1630 MAIN ST SUITE 213 |
City | CHESTER |
State | MD |
Zip Code | 21619-2791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649248691 | Cynthia W Huffaker | Internal Medicine | 1630 Main St, Suite 101, Chester, MD 21619-2791 | 2006-03-08 |
1093344244 | Robyn N Lanasa | Registered Nurse | 1630 Main St, Chester, MD 21619-2791 | 2020-04-08 |
1346710399 | Ashley Good | Physical Therapist | 1630 Main St, Chester, MD 21619 | 2018-12-03 |
1831573807 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 1630 Main St, Suite 108, Chester, MD 21619 | 2015-07-19 |
1073902888 | Anne Arundel Physician Group, LLC | Psychiatry & Neurology | 1630 Main St, Chester, MD 21619-2791 | 2015-01-16 |
1033524855 | Kent Island Surgery Center LLC | Clinic/Center | 1630 Main St, Suite 215a, Chester, MD 21619-2791 | 2014-07-01 |
1780005249 | Anne Arundel Physician Group, LLC | Emergency Medicine | 1630 Main St, Chester, MD 21619-2791 | 2013-12-30 |
1134540693 | Anne Arundel Physician Group, LLC | Family Medicine | 1630 Main St, Chester, MD 21619-2791 | 2013-12-30 |
1831463298 | Anne Arundel Physician Group, LLC | Family Medicine | 1630 Main St, Chester, MD 21619-2791 | 2012-03-02 |
1487951802 | Cardiology Associates, LLC | Specialist | 1630 Main St, Suite 208, Chester, MD 21619-2791 | 2011-02-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
1285718742 | Alan M Graham | Surgery | 1 Medical Center Blvd, Vivacqua Pavilion, Suite 233, Chester, PA 19013-3902 | 2006-10-24 |
1386734101 | Christopher J Smith | Surgery | 1 Medical Center Blvd, Acp #233, Chester, PA 19013-3902 | 2006-10-13 |
1891883294 | William J Mannella | Surgery | 1 Medical Center Blvd, Acp #233, Chester, PA 19013-3902 | 2006-10-11 |
1194832998 | Riddle Healthcare Associates | Surgery | 30 Medical Center Blvd, Suite 101, Chester, PA 19013-3955 | 2006-08-25 |
1750347894 | Malur R Balaji | Surgery | One Medical Center Blvd, Acp, Suite 233, Chester, PA 19013-3902 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
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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.