MS. ALYSSA PHOEBUS HEIDERMAN (NPI# 1740234137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740234137 |
Entity Type | Individual |
Full Name | MS. ALYSSA PHOEBUS HEIDERMAN |
Other Name | ALYSSA PHOEBUS |
Credential | CRNP-A |
Practice Address |
510 Upper Chesapeake Dr Suite 415 Bel Air MD 21014-4328 |
Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031-1002 |
Practice Telephone | 4434633000 |
Practice Fax Number | 4436433001 |
Mailing Telephone | 4436433000 |
Mailing Fax Number | 4436433001 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-02-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R157837 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
510 UPPER CHESAPEAKE DR SUITE 415 |
City | BEL AIR |
State | MD |
Zip Code | 21014-4328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881699411 | Roy H Phillips | Internal Medicine | 510 Upper Chesapeake Dr, #510, Bel Air, MD 21014-4328 | 2005-06-20 |
1326314352 | Sumit Bassi | Family Medicine | 510 Upper Chesapeake Dr, Suite 417, Bel Air, MD 21014-4328 | 2012-03-23 |
1861783110 | Center for Pain Management, LLC | Pain Medicine | 510 Upper Chesapeake Dr, Ste 415, Bel Air, MD 21014-4328 | 2011-04-20 |
1942507629 | Upper Chesapeake Orthopedics, LLC | Orthopaedic Surgery | 510 Upper Chesapeake Dr, #417, Bel Air, MD 21014-4328 | 2011-02-16 |
1275843013 | Upper Chesapeake Womens Care, LLC | Obstetrics & Gynecology | 510 Upper Chesapeake Dr, Suite 518, Bel Air, MD 21014-4328 | 2010-10-14 |
1205154184 | Denise Nastassia White | Obstetrics & Gynecology | 510 Upper Chesapeake Dr, 518, Bel Air, MD 21014-4328 | 2010-05-17 |
1588998587 | Shawn Russell | Pharmacist | 510 Upper Chesapeake Dr, Suite 414, Bel Air, MD 21014-4328 | 2009-09-23 |
1124256490 | 4 S Pharmacy Inc. | Pharmacy | 510 Upper Chesapeake Dr, Suite 414, Bel Air, MD 21014-4328 | 2009-06-25 |
1104065473 | Donghua Wang | Physician Assistant | 510 Upper Chesapeake Dr, Suite 417, Bel Air, MD 21014-4328 | 2009-02-11 |
1053560896 | Asc Development Company, LLC | Clinic/Center | 510 Upper Chesapeake Dr, Suite 415, Bel Air, MD 21014-4328 | 2008-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
Find all providers in zip 21014 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505524 | Jillian E Haney | Nurse Practitioner | 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 | 2020-07-08 |
1376162362 | Thomas Nemer II | Nurse Practitioner | 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 | 2020-04-10 |
1134773922 | Robin Brown | Nurse Practitioner | 139 W Ring Factory Rd, Bel Air, MD 21014-5303 | 2019-07-30 |
1851949705 | Abenaa Asiama | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-09-03 |
1023555281 | Tracy Lynn Crose-hamm | Nurse Practitioner | 730 Baltimore Pike, Bel Air, MD 21014-4244 | 2017-01-26 |
1134679392 | Augusta Akpabio | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2016-10-11 |
1659828267 | Victoria Baeten | Nurse Practitioner | 2012 S Tollgate Rd, Suite 206, Bel Air, MD 21015-1272 | 2016-09-01 |
1205210317 | Rosemarie Hudson | Nurse Practitioner | 500 Upper Chesapeake Dr, Kaufman Cancer Center- Radiation Oncology, Bel Air, MD 21014-4324 | 2015-07-17 |
1710369392 | Jessica Marie Faulhaber Hoban | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2015-06-19 |
1740618776 | Natasha Watson | Nurse Practitioner | 500 Upper Chesapeake Dr, Upper Chesapeake Hospital, Bel Air, MD 21014-4324 | 2013-10-30 |
Find all providers in BEL AIR |
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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.