JIBY BASCAL (NPI# 1750948592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750948592 |
Entity Type | Individual |
Full Name | JIBY BASCAL |
Credential | NP |
Practice Address |
15886 Gaither Dr Ste B Gaithersburg MD 20877-1404 |
Mailing Address |
1912 Morningmist Dr Silver Spring MD 20906-1265 |
Practice Telephone | 3015954031 |
Mailing Telephone | 3018906176 |
Enumeration Date | 2019-05-28 |
Last Update Date | 2019-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R167282 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
15886 GAITHER DR STE B |
City | GAITHERSBURG |
State | MD |
Zip Code | 20877-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740320134 | Marium Parveen | Psychiatry & Neurology | 15886 Gaither Dr Ste B, Gaithersburg, MD 20877-1404 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
Find all providers in zip 20877 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417566944 | Olawale Wale - Aremu | Nurse Practitioner | 8963 Centerway Rd, Gaithersburg, MD 20879-1802 | 2020-07-30 |
1700410529 | Emile Wendeu Foyet | Nurse Practitioner | 18415 Lost Knife Cir Apt 202, Gaithersburg, MD 20886-0461 | 2020-03-02 |
1841759065 | Joanne Boccuzzi Kulesh | Nurse Practitioner | 18513 Traxell Way, Gaithersburg, MD 20879-1797 | 2019-03-18 |
1467925909 | Larissa Gbone | Nurse Practitioner | 7505 Cinnabar Ter, Gaithersburg, MD 20879-4576 | 2019-01-08 |
1952814634 | John Mccarthy | Nurse Practitioner | 21034 Woodfield Rd, Gaithersburg, MD 20882-1203 | 2017-11-16 |
1982121976 | Myriam Diatta | Nurse Practitioner | 818 W Diamond Ave Ste 130, Gaithersburg, MD 20878-1417 | 2017-08-29 |
1770015794 | Ginette Flore Ndingue | Nurse Practitioner | 10810 Darnestown Rd Ste 202, Gaithersburg, MD 20878-2601 | 2017-03-29 |
1831508878 | Lori Lucas | Nurse Practitioner | 555 Quince Orchard Rd Ste 350, Gaithersburg, MD 20878-1437 | 2014-08-04 |
1043558539 | Robin Nicole Godwin | Nurse Practitioner | 19309 Kildonan Dr, Gaithersburg, MD 20879-4751 | 2013-01-18 |
1386993640 | Adele Hagen | Nurse Practitioner | Medimmune Health and Wellness Center, 1 Medimmune Way, Gaithersburg, MD 20878 | 2012-09-02 |
Find all providers in GAITHERSBURG |
City | GAITHERSBURG |
Zip Code | 20877 |
Please comment or provide details below to improve the information on JIBY BASCAL.
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.