MS. HEATHER L OFFUTT


Address: 1434 Porter St, Frederick, MD 21702-9254
Phone: 3016194654

MS. HEATHER L OFFUTT (NPI# 1811029002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811029002
Entity Type Individual
Full Name MS. HEATHER L OFFUTT
Credential PA - C
Practice Address 1434 Porter St
Frederick
MD 21702-9254
Mailing Address 1434 Porter Street
Frederick
MD 21702
Practice Telephone 3016194654
Mailing Telephone 3016194654
Enumeration Date 2007-03-12
Last Update Date 2012-04-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist PA60609 MD Other Service Providers

Office Location

Street Address 1434 PORTER ST
City FREDERICK
State MD
Zip Code 21702-9254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205242310 Kimbrough Acc Military Mtf Military/U.S. Coast Guard Pharmacy 1434 Porter St, Frederick, MD 21702-9254 2014-07-09
1700174018 Monica Ivone Zeballos Pharmacist 1434 Porter St, Frederick, MD 21702-9254 2011-07-20
1871766642 Paul Denis Manny Physical Therapist 1434 Porter St, Frederick, MD 21702-9254 2008-04-11
1710106851 Marie L Mcdonough Registered Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-25
1548489685 Erica Lashon Henderson Licensed Practical Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-25
1841419801 Gary Crotteau Licensed Practical Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-25
1053530139 Carol Tobias Registered Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-25
1831318591 Heidi Maria Chaney Registered Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-24
1295954709 Marilyn Lamb Licensed Practical Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-24
1568681088 Janice Condrey Registered Nurse 1434 Porter St, Frederick, MD 21702-9210 2007-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619481033 Christopher Lynn Cornwell Specialist 5732 Buckeystown Pike Ste 14, Frederick, MD 21704-5208 2017-11-21
1598134066 Shana Oshiro Specialist 1301 Dogwood Dr, Frederick, MD 21701-5020 2015-09-15
1407095227 Neurodiagnostics Ceneters, LLC Specialist 7226 Corporate Ct, Frederick, MD 21703-8386 2009-02-18
1184817512 Frederick Medical & Pulmonary Assoc Specialist 7115 Guilford Drive #202, Frederick, MD 21704 2007-08-20
1801960935 Center for Chest Disease LLC Specialist 501 W 7th St Ste D, Frederick, MD 21701-4589 2006-11-20
1073682027 Arnold O Lankford Specialist 1200 Baker Place, South, Frederick, MD 21702 2006-11-06
1467562371 Mudusar I Raza Specialist 801 Toll House Ave Ste B2, Frederick, MD 21701-6110 2006-08-30
1386752806 Yassin Mohamed Specialist 300 W Ninth St, Frederick, MD 21701-4541 2006-08-25
1164442406 Robert Kirk Jackson Specialist 82 Thomas Johnson Ct, Frederick, MD 21702-4348 2006-07-20
1326008582 Prafull K Dave Specialist 188 Thomas Johnson Drive, Suite 200, Frederick, MD 21702 2006-03-23
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Competitor

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City FREDERICK
Zip Code 21702

Improve Information

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Dataset Information

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.

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