LEI MA (NPI# 1841765740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841765740 |
Entity Type | Individual |
Full Name | LEI MA |
Practice Address |
18109 Prince Philip Dr Olney MD 20832-1519 |
Mailing Address |
12208 Cypress Spring Rd Clarksburg MD 20871-4416 |
Practice Telephone | 8555461849 |
Mailing Telephone | 2404389081 |
Enumeration Date | 2018-10-06 |
Last Update Date | 2018-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
18109 PRINCE PHILIP DR |
City | OLNEY |
State | MD |
Zip Code | 20832-1519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407859085 | Edward Philip Taubman | Internal Medicine | 18109 Prince Philip Dr, Ste 275, Olney, MD 20832-1576 | 2005-05-27 |
1699395665 | Aly Dillon | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2020-04-20 |
1831630227 | Jordan Doughty | Physical Therapy Assistant | 18109 Prince Philip Dr, Suite B-200, Olney, MD 20832-1519 | 2017-03-17 |
1023461951 | Shawn Chong | Physician Assistant | 18109 Prince Philip Dr, Suite 300, Olney, MD 20832-1519 | 2016-07-15 |
1134570898 | John Vipperman | Specialist/Technologist | 18109 Prince Philip Dr, Olney, MD 20832 | 2016-06-23 |
1932557139 | Shoshana Feldman | Registered Nurse | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2016-05-27 |
1649633140 | Mohammad Ahmad Safdar Ali | Internal Medicine | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2016-04-01 |
1265893515 | Capital Ob Gyn Specialists, Pa | Obstetrics & Gynecology | 18109 Prince Philip Dr, Suite 275, Olney, MD 20832-1519 | 2016-03-15 |
1023499738 | Joshua Lomke | Dentist | 18109 Prince Philip Dr, Suite 270, Olney, MD 20832-1519 | 2015-06-18 |
1194106468 | Sandra Lee | Physical Therapist | 18109 Prince Philip Dr, Suite B-200, Olney, MD 20832-1519 | 2015-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003439217 | Allison Fumiye Kightly | Student in an Organized Health Care Education/Training Program | 1119 Keiffer Dr, Olney, IL 62450-2469 | 2020-05-21 |
1699086306 | Erik Edmund Shanahan | Student in an Organized Health Care Education/Training Program | 4549 Boastfield Ln, Olney, MD 20832-2061 | 2010-06-28 |
1629681408 | Mackenzie Meyer | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr Ste 155, Olney, MD 20832-1591 | 2020-08-31 |
1730702945 | Diana Dragnea | Student in an Organized Health Care Education/Training Program | 1119 Keiffer Dr, Olney, IL 62450-2469 | 2020-05-21 |
1699395665 | Aly Dillon | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr, Olney, MD 20832-1519 | 2020-04-20 |
1477118545 | Anna P Anglin | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr Ste B200, Olney, MD 20832-1591 | 2019-05-04 |
1912561499 | Alice Lim Kong | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr Ste 155, Olney, MD 20832-1591 | 2019-04-30 |
1467942326 | Geoffrey Goidell | Student in an Organized Health Care Education/Training Program | 18109 Prince Philip Dr Ste B200, Olney, MD 20832-1591 | 2018-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
1427657220 | Jonathan Robert Sligh | Student in an Organized Health Care Education/Training Program | 36 S Aurora St Apt A, Easton, MD 21601-3535 | 2020-10-22 |
1629676655 | Sam L Allen | Student in an Organized Health Care Education/Training Program | 705 Colby Ave, Takoma Park, MD 20912-5439 | 2020-10-12 |
1851999106 | Thanhthao Hoang Le | Student in an Organized Health Care Education/Training Program | 5023 Adrian St, Rockville, MD 20853-3705 | 2020-10-09 |
1003413345 | Nada S Wilson | Student in an Organized Health Care Education/Training Program | Vesta, 9301 Annapolis Rd, Lanham, MD 20706-1001 | 2020-10-08 |
1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
1073120523 | Raymon Darby | Student in an Organized Health Care Education/Training Program | 5407 Macbeth St, Hyattsville, MD 20784-1009 | 2020-09-29 |
1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
1790391548 | Emily Kendrick Szachnowicz | Student in an Organized Health Care Education/Training Program | 1100 Paca Dr, Edgewater, MD 21037-4126 | 2020-09-17 |
1851906044 | Christela Turner | Student in an Organized Health Care Education/Training Program | 4710 Wilwyn Way, Rockville, MD 20852-2457 | 2020-09-14 |
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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.