DR. JARL THOMAS WATHNE (NPI# 1801898002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801898002 |
| Entity Type | Individual |
| Full Name | DR. JARL THOMAS WATHNE |
| Credential | M. D. |
| Practice Address |
11110 Medical Campus Rd Ste 126 Hagerstown MD 21742-6799 |
| Practice Telephone | 3017144375 |
| Practice Fax Number | 3017144365 |
| Mailing Telephone | 3017144375 |
| Mailing Fax Number | 3017144365 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | D0046383 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 2172963 | 01 |
| MD | CAPITAL BLUE CROSS | 50002834 GP 02426700 | 01 |
| MD | PA BS MD LOCATION | 516615 GRP 59855 | 01 |
| PA | PA BS PA LOCATION | 516773 GRP 593934 | 01 |
| MD | 148591100 793251101 | 05 | |
| MD | CAREFIRST REGIONAL NTWRK | 0005 H883 | 01 |
| MD | CAREFIRST BS IND & GRP | 53302402 S186 | 01 |
| Street Address |
11110 MEDICAL CAMPUS RD STE 126 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| 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 |
|---|---|---|---|---|
| 1598034183 | Edward John Drawbaugh | Otolaryngology | 19004 Cherry Tree Dr, Hagerstown, MD 21742-2633 | 2011-12-28 |
| 1386606234 | Bibhas C Bandy | Otolaryngology | 363 S Cleveland Ave, Suite 202, Hagerstown, MD 21740-5747 | 2006-04-05 |
| 1548242100 | Kirby J Scott | Otolaryngology | 1800 Dual Hwy, Suite #303, Hagerstown, MD 21740-6602 | 2005-11-18 |
| 1720080963 | Charles J Supernavage | Otolaryngology | 1800 Dual Hwy 303, Hagerstown, MD 21740-6648 | 2005-06-01 |
| 1538400536 | Central Sinus Center, LLC | Otolaryngology | 1800 Dual Hwy, Suite 303, Hagerstown, MD 21740-6602 | 2013-03-15 |
| 1205122793 | Central Ent Consultants, PC | Otolaryngology | 1800 Dual Hwy, Suite 303, Hagerstown, MD 21740-6602 | 2011-06-22 |
| 1558568857 | Nathan Allen Deckard | Otolaryngology | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 | 2007-06-29 |
| 1538213715 | Hagerstown Ear Nose & Throat Associates | Otolaryngology | 363 S Cleveland Ave, Suite 202, Hagerstown, MD 21740-5747 | 2007-01-23 |
| 1205891033 | Angela C. Stonebraker | Otolaryngology | 11110 Medical Campus Rd, Suite 126, Hagerstown, MD 21742-6700 | 2006-04-17 |
| 1356332480 | Anthony Christopher Manilla | Otolaryngology | 11110 Medical Campus Rd, Sutie 126, Hagerstown, MD 21742-6700 | 2005-10-28 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.