PHYSICIAN MANAGEMENT SERVICES OF MARYLAND LLC (NPI# 1811466535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811466535 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN MANAGEMENT SERVICES OF MARYLAND LLC |
| Practice Address |
15001 Shady Grove Rd Rockville MD 20850-6352 |
| Mailing Address |
3113 Lawton Rd Ste 250 Orlando FL 32803-3517 |
| Practice Telephone | 8888298550 |
| Mailing Telephone | 8888298550 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | BRETT KENEFICK (PRESIDENT) |
| Authorized Official Telephone | 8888298550 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAXCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
15001 SHADY GROVE RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-6352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579148 | Maria Desiree Ferraris Araneta | Nurse Practitioner | 15001 Shady Grove Rd, Ste 110, Rockville, MD 20850-6354 | 2005-06-21 |
| 1700254513 | Aime Louise Adams | Acupuncturist | 15001 Shady Grove Rd, Rockville, MD 20850-6352 | 2015-09-10 |
| 1154738300 | Patricia Sachs | Counselor | 15001 Shady Grove Rd, Suite 220, Rockville, MD 20850-6352 | 2014-07-21 |
| 1821403155 | Amy Rosacker | Advanced Practice Midwife | 15001 Shady Grove Rd, Rockville, MD 20850-6352 | 2014-06-25 |
| 1578994166 | Sabrina Uy | Acupuncturist | 15001 Shady Grove Rd, Rockville, MD 20850-6352 | 2013-12-06 |
| 1326396896 | Chi Health Care Inc. | Clinic/Center | 15001 Shady Grove Rd, 2nd Floor, Rockville, MD 20850 | 2012-08-15 |
| 1316279888 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 15001 Shady Grove Rd, Ste 220, Rockville, MD 20850-6352 | 2010-02-08 |
| 1386876894 | Metropolitan Ent & Facial Plastic Surgery, LLC | Specialist | 15001 Shady Grove Rd, Suite 100, Rockville, MD 20850-6352 | 2009-08-17 |
| 1699914861 | Hengameh T Shomali | Acupuncturist | 15001 Shady Grove Rd, Rockville, MD 20850-6352 | 2009-02-11 |
| 1851568992 | Susan Elaine Coleman | Audiologist | 15001 Shady Grove Rd, Suite 100, Rockville, MD 20850-6352 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727401 | C Abreu Healthcare LLC | Family Medicine | 50 W Edmonston Dr Ste 202, Rockville, MD 20852-1249 | 2018-07-22 |
| 1083063119 | Hua-chuan Sim | Family Medicine | 10960 Bloomingdale Dr, Rockville, MD 20852-5550 | 2016-06-09 |
| 1114373107 | Alisha Tuteja | Family Medicine | 9715 Medical Center Dr Ste 414, Rockville, MD 20850-6310 | 2016-05-09 |
| 1548616931 | Mohammad Darbandi | Family Medicine | 14812 Physicians Lane, 162, Rockville, MD 20850-2085 | 2016-05-04 |
| 1407261704 | Charles Ayowole Olaleye | Family Medicine | 2101 E Jefferson St Ste 6wppqa, Rockville, MD 20852-4908 | 2014-06-25 |
| 1316209596 | Wilhelmina G.camina, Md,pa | Family Medicine | 4912 Adrian Street, Rockville, MD 20853-3106 | 2012-06-13 |
| 1427345669 | Union Hospital, Inc. | Family Medicine | 727 No. Lincoln Rd, Union Hospital Inc. D/b/a Rockville Family Medicine, Rockville, IN 47872-1117 | 2011-07-08 |
| 1376784876 | Macaya Julie Douoguih | Family Medicine | 1405 Research Blvd, Ste 300, Rockville, MD 20850-3108 | 2009-03-12 |
| 1922247519 | Bernard Aloysius Fitzgerald | Family Medicine | 14511 Faraday Drive, Rockville, MD 20853-1941 | 2009-02-05 |
| 1134367139 | Allison Win | Family Medicine | 2401 Research Blvd Ste 102, Rockville, MD 20850-3215 | 2009-01-28 |
| Find all providers in ROCKVILLE | ||||
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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.