JITTIKOM JANTARASAMI (NPI# 1881610269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881610269 |
| Entity Type | Individual |
| Full Name | JITTIKOM JANTARASAMI |
| Credential | MD |
| Practice Address |
100 Hospital Road Prince Frederick MD 20678 |
| Mailing Address |
Po Box 630898 Baltimore MD 21263-0898 |
| Practice Telephone | 4105358295 |
| Mailing Telephone | 8004261670 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | D0017867 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
100 HOSPITAL ROAD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558628164 | Jeanhyong Park | Emergency Medicine | 100 Hospital Road, Emergency Department, Prince Frederick, MD 20678 | 2012-04-19 |
| 1184932683 | Emergency Medicine Associates | Emergency Medicine | 100 Hospital Road, Calvert Memorial Hospital, Prince Frederick, MD 20678 | 2010-09-17 |
| 1699087403 | Babajide Eyitayo Faditan | Pediatrics | 100 Hospital Road, Calvert Memorial Hospital, Prince Frederick, MD 20678 | 2010-07-08 |
| 1386871390 | Calverthealth Medical Group, LLC | Registered Nurse | 100 Hospital Road, Prince Frederick, MD 20678-4017 | 2009-06-17 |
| 1831117290 | Vivek Gupta | Anesthesiology | 100 Hospital Road, Prince Frederick, MD 20678 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055077 | Sina Davari Farid | Anesthesiology | 80 Sherry Ln # 101, Prince Frederick, MD 20678-3232 | 2014-05-15 |
| 1013312412 | Global Anesthesia Services LLC | Anesthesiology | 205 Steeple Chase Dr, Prince Frederick, MD 20678-4053 | 2014-10-28 |
| 1861832537 | Arkadiy Koshkin | Anesthesiology | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2013-06-26 |
| 1497994305 | Swank Anesthesia Care LLC | Anesthesiology | 110 Hospital Rd, Ste 303, Prince Frederick, MD 20678-4019 | 2009-02-17 |
| 1356503874 | Shakeem K Lane | Anesthesiology | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2008-06-26 |
| 1639373244 | David Trimble | Anesthesiology | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2007-06-14 |
| 1619085198 | Jeffery Ryan Viken | Anesthesiology | 100 Hospital Rd, Prince Frederick, MD 20678 | 2006-08-26 |
| 1235149493 | Chesapeake Anesthesia Associates Pa | Anesthesiology | 100 Hospital Rd, Prince Frederick, MD 20678 | 2006-08-09 |
| 1790703650 | Myrka Marly Smith | Anesthesiology | 100 Hospital Rd, Prince Frederick, MD 20678 | 2006-07-18 |
| 1831117290 | Vivek Gupta | Anesthesiology | 100 Hospital Road, Prince Frederick, MD 20678 | 2006-07-17 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.