DR. JOHN BOSWORTH (NPI# 1750339743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750339743 |
| Entity Type | Individual |
| Full Name | DR. JOHN BOSWORTH |
| Credential | M.D. |
| Practice Address |
15204 Omega Dr Ste 310 Rockville MD 20850 |
| Mailing Address |
15204 Omega Dr Ste 310 Rockville MD 20850-4601 |
| Practice Telephone | 2403619000 |
| Practice Fax Number | 2403619001 |
| Mailing Telephone | 2403619000 |
| Mailing Fax Number | 2403619001 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | D0038812 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 253316 | 01 |
| DC | BCBS OF DC | B0480002 | 01 |
| AETNA | 5480579 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487924783 | John Michael Bosworth | Pharmacist | 2620 S Belt Hwy, Saint Joseph, MO 64503-1646 | 2012-01-04 |
| 1780814947 | John Bosworth | Physician Assistant | 4904 19th Ave, Astoria, NY 11105-1002 | 2009-07-22 |
| 1932372208 | John J. Bosworth | Counselor | 535 Central Ave, Suite 418, St Petersburg, FL 33701-3703 | 2008-04-08 |
| Street Address |
15204 OMEGA DR STE 310 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205816006 | Martin Peter Sorensen | Otolaryngology | 15204 Omega Dr Ste 310, Rockville, MD 20850 | 2006-01-18 |
| 1750929527 | Kelsey Paige Larger | Physical Therapist | 15204 Omega Dr Ste 310, Rockville, MD 20850-4816 | 2019-12-12 |
| 1487146163 | Lara Karma Khattar | Physical Therapist | 15204 Omega Dr Ste 310, Rockville, MD 20850-4601 | 2018-05-30 |
| 1457881161 | Ellen Barr | Physical Therapist | 15204 Omega Dr Ste 310, Rockville, MD 20850-4601 | 2017-06-14 |
| 1962876011 | Hillary Grace Cox | Physical Therapist | 15204 Omega Dr Ste 310, Rockville, MD 20850-4601 | 2015-11-30 |
| 1386972255 | Brittany Rose Coleman | Physician Assistant | 15204 Omega Dr Ste 310, Rockville, MD 20850 | 2009-12-03 |
| 1730142969 | Michael Bart Siegel | Otolaryngology | 15204 Omega Dr Ste 310, Rockville, MD 20850 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730338237 | Barry Modlin | Otolaryngology | 11123 Arroyo Dr, Rockville, MD 20852-3601 | 2008-09-09 |
| 1205816006 | Martin Peter Sorensen | Otolaryngology | 15204 Omega Dr Ste 310, Rockville, MD 20850 | 2006-01-18 |
| 1134123912 | David Thompson | Otolaryngology | 1105 Churchview Place, Rockville, MD 20854 | 2005-06-09 |
| 1720451693 | Advanced Ent | Otolaryngology | 1101 Wootton Pkwy, Suite 900, Rockville, MD 20852-1059 | 2015-11-02 |
| 1225445968 | Rebecca June Kamil | Otolaryngology | 9420 Key West Ave Ste 310, Rockville, MD 20850-6212 | 2014-07-15 |
| 1285763276 | Michael S. Morris M.d., LLC | Otolaryngology | 14955 Shady Grove Rd, Suite 240, Rockville, MD 20850-8700 | 2007-03-05 |
| 1437212313 | Suzel S Hall | Otolaryngology | 9420 Key West Ave, Suite 310, Rockville, MD 20850-3334 | 2006-12-19 |
| 1376632778 | Michael S. Morris | Otolaryngology | 14955 Shady Grove Rd, Suite 240, Rockville, MD 20850-8700 | 2006-10-12 |
| 1629036355 | Siegel and Bosworth Ear, Nose, and Throat Center, P.a. | Otolaryngology | 15235 Shady Grove Rd, Suite 100, Rockville, MD 20850-3234 | 2006-05-03 |
| 1730142969 | Michael Bart Siegel | Otolaryngology | 15204 Omega Dr Ste 310, Rockville, MD 20850 | 2006-04-10 |
| Find all providers in ROCKVILLE | ||||
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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.