BAY HEMATOLOGY ONCOLOGY, P.A. (NPI# 1871032409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871032409 |
| Entity Type | Organization |
| Organization Name | BAY HEMATOLOGY ONCOLOGY, P.A. |
| Other Organization Name | NANCY LA BUNCE |
| Practice Address |
2977 4h Park Rd Suite 102 Centreville MD 21617-2232 |
| Practice Telephone | 4107584030 |
| Practice Fax Number | 4107584733 |
| Mailing Telephone | 4107584030 |
| Mailing Fax Number | 4107584733 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SHARON K BOOZE (PRACTICE MANAGER) |
| Authorized Official Telephone | 4108205945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AC000387 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 100820000 | 05 |
| Other Name | Type Code |
|---|---|
| Nancy LA Bunce | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445875 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-10 |
| 1669911293 | Bay Hematology Oncology, P.a. | Clinic/Center | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1962941575 | Bay Hematology Oncology, P.a. | Nurse Practitioner | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1891234688 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-14 |
| Street Address |
2977 4H PARK RD SUITE 102 |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445875 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-10 |
| 1669911293 | Bay Hematology Oncology, P.a. | Clinic/Center | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1962941575 | Bay Hematology Oncology, P.a. | Nurse Practitioner | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1891234688 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-14 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
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| 1679068258 | Aquita Thomas | Nurse Practitioner | 909 University Way, Centreville, AL 35042-7501 | 2018-06-26 |
| 1467908533 | Monica Phillips | Nurse Practitioner | 1281 Abercrombie Rd, Centreville, AL 35042-5104 | 2016-08-29 |
| 1992197800 | Lisa Lister Adkins | Nurse Practitioner | 255 Comet Dr, Centreville, MD 21617-2647 | 2015-03-02 |
| 1063675205 | Pauline Abate | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2008-07-08 |
| 1417129693 | Reginald Patrick Wince Sr. | Nurse Practitioner | 5900 Bond Ave, Centreville, IL 62207-2326 | 2008-03-28 |
| 1679755425 | Louise A Leblanc | Nurse Practitioner | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2007-12-04 |
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| 1376162362 | Thomas Nemer II | Nurse Practitioner | 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 | 2020-04-10 |
| 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.