MARYLAND MEDICAL GROUP, PLLC (NPI# 1831415868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831415868 |
| Entity Type | Organization |
| Organization Name | MARYLAND MEDICAL GROUP, PLLC |
| Other Organization Name | PATIENT FIRST ABERDEEN |
| Practice Address |
995 Hospitality Way Aberdeen MD 21001 |
| Practice Telephone | 4103067880 |
| Practice Fax Number | 4103067881 |
| Mailing Telephone | 4103067880 |
| Mailing Fax Number | 4103067881 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-05-06 |
| Authorized Official Name | MR. MARVIN W BRIDGERS III (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8048224383 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | M42628 | MD | Suppliers |
| Other Name | Type Code |
|---|---|
| PATIENT FIRST ABERDEEN | Other Name - Individual/Organization |
| Street Address |
995 HOSPITALITY WAY |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839499 | Nicholas Francis Wunder | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-02-10 |
| 1639504947 | Kimberly Lynn Harmon | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2013-09-05 |
| 1376808667 | Smita Massey-gomez | Internal Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2012-07-12 |
| 1215245485 | Jennifer Wylie Watts | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2010-09-21 |
| 1093034811 | Patient First Maryland Medical Group Pllc | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001 | 2010-05-18 |
| 1518002484 | Julianne Ina Davis | Physician Assistant | 995 Hospitality Way, Patient First, Aberdeen, MD 21001-1755 | 2007-02-20 |
| 1063504264 | Oliver Schoonmaker Thresher Jr. | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-09-28 |
| 1104840651 | Jason M Fay | Physician Assistant | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-07-27 |
| 1174552012 | Bruce C Kinzinger | Family Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-07-02 |
| 1376509075 | John Merren Byrne | Internal Medicine | 995 Hospitality Way, Aberdeen, MD 21001-1755 | 2006-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982941126 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 | 2013-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864489 | Welldoc, Inc. | Non-Pharmacy Dispensing Site | 10221 Wincopin Cir Ste 150, Columbia, MD 21044-3444 | 2019-10-30 |
| 1619444213 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 940 Seton Dr Ste A, Cumberland, MD 21502-1871 | 2018-11-01 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1003383720 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 6820 Hospital Dr Ste 302, Baltimore, MD 21237-4362 | 2018-10-31 |
| 1003383654 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1838 Greene Tree Rd Ste 150, Pikesville, MD 21208-7100 | 2018-10-31 |
| 1629545272 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 510 Upper Chesapeake Dr Ste 415, Bel Air, MD 21014-4336 | 2018-10-31 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| 1093178923 | Jeffrey Y H Chung LLC | Non-Pharmacy Dispensing Site | 14201 Laurel Park Dr Ste 104, Laurel, MD 20707-5203 | 2016-03-29 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 1871967414 | Annapolis Foot and Ankle Center | Non-Pharmacy Dispensing Site | 130 Love Point Rd Ste 103, Stevensville, MD 21666-2132 | 2015-11-19 |
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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.