ESTEBAN GUILLERMO MANTILLA RODRIGUEZ (NPI# 1851952089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851952089 |
| Entity Type | Individual |
| Full Name | ESTEBAN GUILLERMO MANTILLA RODRIGUEZ |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
8401 Connecticut Ave Ph Suite Chevy Chase MD 20815-5822 |
| Practice Telephone | 3019422212 |
| Mailing Telephone | 3019422212 |
| Mailing Fax Number | 3019421149 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0007102 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19735 Germantown Rd Ste 100, Germantown, MD 208741225 | 3019422212 | |
| 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 208155822 | 3019422212 |
| Street Address |
8401 CONNECTICUT AVE PH SUITE |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763179 | Rebecca M Gross | Internal Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2006-05-04 |
| 1821630294 | Kimberly Marie Horning | Nurse Practitioner | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2019-10-17 |
| 1871064816 | Leandra S Armstead | Nurse Practitioner | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2018-12-17 |
| 1386136778 | Tiffany Amber Nickens-gaither | Physician Assistant | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2018-06-01 |
| 1487067864 | Dana Marie Meyer Buxser | Internal Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815 | 2014-06-03 |
| 1194152215 | Meggie S Tortolero | Physician Assistant | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2013-10-03 |
| 1922284975 | Shadi Pezeshki | Internal Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2008-01-20 |
| 1184822611 | Uma Jayaraman | Family Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2007-07-05 |
| 1548284995 | Joanna Macapinlac Delaney | Family Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2006-07-27 |
| 1831112143 | Potomac Physician Associates | Internal Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| 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 |
|---|---|---|---|---|
| 1326521295 | Hayley Bennett Coyle | Physician Assistant | 5454 Wisconsin Ave Ste 1045, Chevy Chase, MD 20815-6917 | 2018-09-07 |
| 1558502732 | Saleem Iqbal Sharar | Physician Assistant | 5425 Wisconsin Ave Ste 702, Chevy Chase, MD 20815 | 2009-03-17 |
| 1609358944 | Kerry Ann Martin | Physician Assistant | 5530 Wisconsin Ave Ste 914, Chevy Chase, MD 20815-4330 | 2018-09-04 |
| 1669826517 | Cortney Elizabeth Tanner | Physician Assistant | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 | 2016-04-18 |
| 1124437447 | Megan Baird | Physician Assistant | 8401 Connecticut Ave, Ste 800, Chevy Chase, MD 20815-5803 | 2014-08-12 |
| 1326475674 | Kara Johnson Danneberger | Physician Assistant | 5550 Friendship Blvd, Suite T-90, Chevy Chase, MD 20815-7256 | 2013-10-02 |
| 1306270533 | India Pettus | Physician Assistant | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 | 2013-08-23 |
| 1386991453 | Suzanne Mehlhouse Adler | Physician Assistant | 5454 Wisconsin Ave, Suite 1400, Chevy Chase, MD 20815-6901 | 2012-08-08 |
| 1144556432 | Rachel A White | Physician Assistant | 5454 Wisconsin Ave, Suite 1045, Chevy Chase, MD 20815-6901 | 2009-10-22 |
| 1124223664 | Briana Marie Sweeney | Physician Assistant | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2007-06-15 |
| Find all providers in CHEVY CHASE | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
Please comment or provide details below to improve the information on ESTEBAN GUILLERMO MANTILLA RODRIGUEZ.
| 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.