MR. MARK EDWARD DRISCOLL (NPI# 1831710805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831710805 |
Entity Type | Individual |
Full Name | MR. MARK EDWARD DRISCOLL |
Credential | EMT |
Practice Address |
212 Quail Run Dr Centreville MD 21617-2301 |
Practice Telephone | 4433473677 |
Mailing Telephone | 4433473677 |
Enumeration Date | 2020-05-01 |
Last Update Date | 2020-05-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | 0211285 | MD | Emergency Medical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659353449 | Mark F Driscoll | Dentist | 2217 W 12th St, Hastings, NE 68901-3660 | 2005-11-16 |
1497122188 | Mark Driscoll | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2015-08-28 |
1275819542 | Mark Driscoll | Physical Therapist | 15 N Broadway, White Plains, NY 10601-2214 | 2011-10-31 |
Street Address |
212 QUAIL RUN DR |
City | CENTREVILLE |
State | MD |
Zip Code | 21617-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
Find all providers in zip 21617 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134396625 | Teira Michelle Labrie | Emergency Medical Technician, Basic | 212 Broadway, Centreville, MD 21617-1008 | 2008-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785472 | Spencer Sallee | Emergency Medical Technician, Basic | 6709 Annan Dr, Bethesda, MD 20816-1021 | 2020-06-16 |
1255952834 | Julie White | Emergency Medical Technician, Basic | 29453 Golton Dr, Easton, MD 21601-7103 | 2020-05-05 |
1629637152 | Collin Michael Papenfuss | Emergency Medical Technician, Basic | 5200 Southwestern Blvd, Baltimore, MD 21227-2820 | 2019-06-09 |
1740732262 | Total Wellness Medical Center LLC | Emergency Medical Technician, Basic | 4000 Mitcheville Road, B322, Bowie, MD 20716-0000 | 2016-11-01 |
1336533298 | Rebekah Everett | Emergency Medical Technician, Basic | 11837 Tower Hamlets Pl, Waldorf, MD 20602-6122 | 2015-03-27 |
1154723419 | Sarah Koehn | Emergency Medical Technician, Basic | 20916 Old York Rd, Parkton, MD 21120-9135 | 2014-09-18 |
1356611271 | Yayoh Kamara | Emergency Medical Technician, Basic | 9923 Good Luck Rd Apt 204, Lanham, MD 20706-3247 | 2012-01-10 |
1225329345 | Nicole Williams | Emergency Medical Technician, Basic | 10400 Stevenson Rd Ste 102, Stevenson, MD 21153-0600 | 2011-04-23 |
1821265505 | Jeremey Leonard Weiss | Emergency Medical Technician, Basic | 555 Belmawr Pl, Millersville, MD 21108-1561 | 2008-05-13 |
1831376102 | George L. Pearman II | Emergency Medical Technician, Basic | 800 W Baltimore St, 6th Fl, Baltimore, MD 21201-1138 | 2008-01-29 |
Find all providers with the same taxonomy |
City | CENTREVILLE |
Zip Code | 21617 |
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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.