DR. CHARLES VINCENT JUDGE III (NPI# 1851468995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851468995 |
| Entity Type | Individual |
| Full Name | DR. CHARLES VINCENT JUDGE III |
| Credential | DOCTOR OF CHIROPRACT |
| Practice Address |
3 Post Office Rd Suite 104 Waldorf MD 20602 |
| Mailing Address |
3 Post Office Rd Suite 104 Waldorf MD 20602-2756 |
| Practice Telephone | 3016455393 |
| Practice Fax Number | 3016459490 |
| Mailing Telephone | 3016455393 |
| Mailing Fax Number | 3016459490 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01688 | MD | Chiropractic Providers |
| N | 225100000X | Physical Therapist | 01688 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS OF DC | T1630001 | 01 |
| MD | BCBS OF MD | M199 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821147489 | Charles A Judge | Internal Medicine | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2007-01-10 |
| Street Address |
3 POST OFFICE RD SUITE 104 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960831 | Kourtney Wathen | Speech-Language Pathologist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2020-10-19 |
| 1003382565 | Alexandra Perry | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2018-10-22 |
| 1639521552 | Gabriel Kresge | Physical Therapist | 3 Post Office Rd, #105, Waldorf, MD 20602-2756 | 2016-07-02 |
| 1780031930 | Marcelle Ortiz | Occupational Therapist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2016-05-18 |
| 1790154722 | Erin O'neil | Speech-Language Pathologist | 3 Post Office Rd, #105, Waldorf, MD 20602-2756 | 2015-09-21 |
| 1235516956 | Nrh/cpt/st.mary/civista Regional Rehabilitation, Inc. | Physical Therapist | 3 Post Office Rd, Suite 105, Waldorf, MD 20602-2756 | 2015-05-01 |
| 1679971063 | Robert Jameson Jr. | Occupational Therapist | 3 Post Office Rd, Suite Number 105, Waldorf, MD 20602-2756 | 2014-12-17 |
| 1396147716 | Brittany Webster | Physical Therapist | 3 Post Office Rd, Suite 105, Waldorf, MD 20602-2756 | 2014-09-17 |
| 1386067981 | September Dietrich | Physical Therapy Assistant | 3 Post Office Rd, Suite 105, Waldorf, MD 20602-2756 | 2014-02-03 |
| 1811263502 | Theresa J Hallenen | Occupational Therapist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295020246 | Kennedy Chiropractic PC | Chiropractor | 4140 Crain Hwy, Waldorf, MD 20603-4858 | 2011-06-16 |
| 1245405745 | Elizabeth Jane Rand | Chiropractor | 957 Chandler Ct, Waldorf, MD 20602-2800 | 2008-04-25 |
| 1235304072 | Jess Hunley Crawford IIi | Chiropractor | 975 Chandler Ct, Waldorf, MD 20602-2800 | 2008-04-23 |
| 1366586687 | Life Care Chiropractic and Wellness | Chiropractor | 1 Post Office Rd Ste 102, Waldorf, MD 20602-2714 | 2007-02-19 |
| 1982786737 | Ronda Lynn Sharman | Chiropractor | 1 Post Office Rd, Suite 102, Waldorf, MD 20602-2713 | 2006-10-20 |
| 1932159365 | Edwin L Lipsitz | Chiropractor | 12106 Old Line Ctr, Waldorf, MD 20602-2553 | 2006-05-10 |
| 1295703106 | Shawn Patrick Neville | Chiropractor | 11750 Business Park Dr, Suite 201, Waldorf, MD 20601-2907 | 2006-03-08 |
| 1639724917 | Embrace Chiropractic LLC | Chiropractor | 12106 Old Line Ctr, Waldorf, MD 20602-2553 | 2019-08-05 |
| 1376011916 | Betel Aklilu | Chiropractor | 1 Post Office Rd Ste 102, Waldorf, MD 20602-2714 | 2018-11-12 |
| 1851791735 | Pro-perform Spinal Health & Rehab LLC | Chiropractor | 12070 Old Line Ctr, Suite 301, Waldorf, MD 20602-2513 | 2014-08-28 |
| Find all providers in WALDORF | ||||
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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.