KAYLEIGH SURENDRA (NPI# 1851643670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851643670 |
| Entity Type | Individual |
| Full Name | KAYLEIGH SURENDRA |
| Credential | PA-C |
| Practice Address |
6040 Sykesville Rd Eldersburg MD 21784-6000 |
| Mailing Address |
8385 Montgomery Run Rd Apt G Ellicott City MD 21043-7218 |
| Practice Telephone | 4107814720 |
| Mailing Telephone | 4433153785 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-04330 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | C04829 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6040 SYKESVILLE RD |
| City | ELDERSBURG |
| State | MD |
| Zip Code | 21784-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130025 | Woobum Han | Pharmacist | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2020-09-24 |
| 1356957534 | Megan Ryan-riffle | Nurse Practitioner | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2020-09-22 |
| 1982218301 | Kimberley May Bailey | Nurse Practitioner | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2020-09-02 |
| 1912544883 | Kristen Leizear | Nurse Practitioner | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2019-12-10 |
| 1275180838 | Brian Olson | Pharmacist | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2019-08-19 |
| 1679129910 | Jena Chambarlis | Pharmacist | 6040 Sykesville Rd, Eldersburg, MD 21784 | 2019-08-13 |
| 1164930210 | Angela Harlee | Nurse Practitioner | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2018-01-10 |
| 1811409659 | Stephanie L Carpenter | Nurse Practitioner | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2017-11-02 |
| 1003367889 | Chi Ham | Pharmacist | 6040 Sykesville Rd, Eldersburg, MD 21784-6000 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| Find all providers in zip 21784 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575034 | Alyssa O'brien | Physician Assistant | 1380 Progress Way Ste 114, Eldersburg, MD 21784-6499 | 2018-10-26 |
| 1265771109 | Yewande Olasimbo | Physician Assistant | 1315 Breton Dr, Eldersburg, MD 21784-6137 | 2013-02-13 |
| 1922400720 | Mary L Udseth | Physician Assistant | 1380 Progress Way, Suite 114, Eldersburg, MD 21784-6464 | 2014-09-23 |
| 1407163439 | Donnell I James Jr. | Physician Assistant | 1380 Progress Way, Suite 112, Eldersburg, MD 21784-6464 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | ELDERSBURG |
| Zip Code | 21784 |
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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.