OUTREACH RECOVERY II, LLC (NPI# 1760090294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760090294 |
| Entity Type | Organization |
| Organization Name | OUTREACH RECOVERY II, LLC |
| Practice Address |
339 E Antietam St Ste 4 Hagerstown MD 21740-5767 |
| Mailing Address |
4201 Northview Dr Ste 104 Bowie MD 20716-2655 |
| Practice Telephone | 4108004466 |
| Mailing Telephone | 4108004466 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | ISIAH COLES (COO) |
| Authorized Official Telephone | 5615023978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 8249491676 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198667 | Outreach Recovery II, LLC | Counselor | 72 Greene St Ste 104, Cumberland, MD 21502-2933 | 2020-06-15 |
| 1801452362 | Outreach Recovery II, LLC | Family Medicine | 3649 Leonardtown Rd, Waldorf, MD 20601-3626 | 2019-05-10 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1023626553 | Outreach Recovery II, LLC | Counselor | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1518584143 | Outreach Recovery II, LLC | Counselor | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2020-06-30 |
| 1821614157 | Outreach Recovery II, LLC | Family Medicine | 72 Greene St, Cumberland, MD 21502-2933 | 2020-06-23 |
| 1386260990 | Outreach Recovery II, LLC | Internal Medicine | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2020-06-19 |
| 1639795248 | Outreach Recovery II, LLC | Counselor | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2020-06-19 |
| 1568087559 | Outreach Recovery II, LLC | Counselor | 4201 Northview Dr Ste 104, Bowie, MD 20716-2655 | 2020-06-15 |
| 1003431099 | Outreach Recovery II, LLC | Counselor | 3649 Leonardtown Rd, Waldorf, MD 20601-3626 | 2020-06-15 |
| Street Address |
339 E ANTIETAM ST STE 4 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626553 | Outreach Recovery II, LLC | Counselor | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514049 | Dundalk Medical Group | Internal Medicine | 207 Wise Avenue, Dundalk, MD 21222-4911 | 2019-12-04 |
| 1356801534 | Matclinic Physicians Practice Group LLC | Internal Medicine | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2019-03-22 |
| 1326525973 | Behavioral Health Leadership Institute, Inc | Internal Medicine | 401 Edgar Street (van), Baltimore, MD 21202 | 2018-07-26 |
| 1760913297 | Rek Advanced Therapeutic Solutions | Internal Medicine | 6419 York Rd # A, Ste 100, Baltimore, MD 21212-2144 | 2017-03-26 |
| 1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
| 1033323795 | Harry Calvin Stein | Internal Medicine | 11140 Rockville Pike Ste 400, Rockville, MD 20852-3104 | 2007-05-10 |
| 1093738635 | Nurul Amin Chowdhury | Internal Medicine | 5721 Grosvenor Ln, Bethesda, MD 20814-1833 | 2006-07-25 |
| 1770575326 | Howard Byron Cohen | Internal Medicine | 6717 Park Heights Ave, Baltimore, MD 21215-2443 | 2005-08-19 |
| 1407402506 | Mitchell Ira Burken | Internal Medicine | 5716 Industry Ln, Frederick, MD 21704-5224 | 2019-08-14 |
| 1497161483 | Chase Brexton Health Care | Internal Medicine | 200 Hospital Drive, Suite 300, Glen Burnie, MD 21061-5877 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on OUTREACH RECOVERY II, LLC.
| 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.