BLUE WATER PHYSIATRY L L C (NPI# 1770764490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770764490 |
| Entity Type | Organization |
| Organization Name | BLUE WATER PHYSIATRY L L C |
| Practice Address |
7501 Surratts Road #202 Clinton MD 20735-2256 |
| Mailing Address |
6368 Coventry Way #365 Clinton MD 20735-2256 |
| Practice Telephone | 3018776110 |
| Practice Fax Number | 3018772695 |
| Mailing Telephone | 3018776110 |
| Mailing Fax Number | 3018772695 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | ARTHUR PETER BARLETTA (PRESIDENT) |
| Authorized Official Telephone | 3018776110 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE WATER PHYSIATRY L L C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D0039416 | MD | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | D0039416 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
7501 SURRATTS ROAD #202 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009968 | Southern Maryland Professional Rad | Specialist | 7501 Surratts Road, Suite 104, Clinton, MD 20735-3362 | 2005-08-01 |
| 1821030156 | Medical & Surgical Clinics of Southern Maryland Inc | Surgery | 7501 Surratts Road, Suite 208b, Clinton, MD 20735-3362 | 2006-06-12 |
| 1174504997 | John C Patterson | Internal Medicine | 7501 Surratts Road, Suite 201a, Clinton, MD 20735-3358 | 2005-11-09 |
| 1871594846 | Creative Lifestyles Management Prog | Internal Medicine | 7501 Surratts Road, Suite 202, Clinton, MD 20735-3358 | 2005-08-02 |
| 1568463594 | Southern Radiology Mri Partnership | Radiology | 7501 Surratts Road, Suite 104, Clinton, MD 20735-3358 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649313123 | David M O'toole | Physical Medicine & Rehabilitation | 507d Ridgefield Cir, Clinton, MA 01510-1443 | 2007-02-15 |
| 1588612535 | Kerri P Dixon | Physical Medicine & Rehabilitation | 108 Clinton Pkwy, Clinton, MS 39056-4730 | 2006-05-04 |
| 1528615804 | Heather Puchel | Physical Medicine & Rehabilitation | 801 Musgrove St, Clinton, SC 29325-1752 | 2019-08-21 |
| 1487138491 | Aboli Manohar Yenkar | Physical Medicine & Rehabilitation | 9211 Stuart Ln, Clinton, MD 20735-2712 | 2018-09-17 |
| 1952854747 | Joseph Leonard Downing II | Physical Medicine & Rehabilitation | 801 S Main St, Clinton, IN 47842-2261 | 2016-07-27 |
| 1437380805 | Giridhar Gundu | Physical Medicine & Rehabilitation | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2009-08-04 |
| 1184850505 | Adaku U. Nwachuku | Physical Medicine & Rehabilitation | 7801 Old Branch Ave, Ste 202, Clinton, MD 20735-1642 | 2009-06-01 |
| 1770772394 | Southern Maryland Hospital, Inc. | Physical Medicine & Rehabilitation | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2007-10-19 |
| 1245387968 | Salim Yusuf Mansoor | Physical Medicine & Rehabilitation | 9135 Piscataway Rd Ste 420, Clinton, MD 20735-2555 | 2007-01-04 |
| 1558439133 | Rommaan S Ahmad | Physical Medicine & Rehabilitation | 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 | 2006-12-01 |
| Find all providers in CLINTON | ||||
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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.