MS. MICHAEL JACKSON PENTECOST (NPI# 1881730158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881730158 |
| Entity Type | Individual |
| Full Name | MS. MICHAEL JACKSON PENTECOST |
| Credential | M.D. |
| Practice Address |
2101 East Jefferson Street Rockville MD 20852 |
| Mailing Address |
2101 East Jefferson Street Kaiser Permanente, Ppqa, 6 West Atnn Theresa Brooks Rockville MD 20852 |
| Practice Telephone | 3018166660 |
| Practice Fax Number | 3018166308 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD22175 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
2101 EAST JEFFERSON STREET |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730254681 | Kaiser Foundation Health Plan of The Mid Atlantic States,inc | Health Maintenance Organization | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-11-22 |
| 1699154021 | Sripooja Satya Parameswaran | Internal Medicine | 2101 East Jefferson Street, Suite 6w Ppqa, Rockville, MD 20852 | 2015-05-19 |
| 1821282476 | Hesun Kang | Nurse Practitioner | 2101 East Jefferson Street, Rockville, MD 20852 | 2007-08-28 |
| 1053519983 | Natalia O Glebova | Surgery | 2101 East Jefferson Street, Suite 6w Ppqa, Rockville, MD 20852-4908 | 2007-07-03 |
| 1578605234 | Patricia Ruby Richards | Pediatrics | 2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West, Attn Theresa Brooks, Rockville, MD 20852 | 2007-02-12 |
| 1982766572 | Mark H Snyder | Internal Medicine | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-12-14 |
| 1306907803 | Janice Marie Beaverson | Family Medicine | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-12-12 |
| 1467512921 | Katherine Pace Ellis | Nurse Practitioner | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-12-12 |
| 1023176922 | Stanley J Kramer | Pediatrics | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-12-04 |
| 1861560112 | Yancy Y Phillips IIi | Internal Medicine | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465065 | A&e Ir Solutions | Radiology | 9000 Ewing Dr, Bethesda, MD 20817-3358 | 2020-07-29 |
| 1194374694 | Vascular Institute of Maryland Surgical Center, PC | Radiology | 351 W Camden St Ste 201, Baltimore, MD 21201-7912 | 2019-09-06 |
| 1386200525 | Centurion Vascular Care LLC | Radiology | 4230 Forbes Blvd Ste E, Lanham, MD 20706-4399 | 2019-05-14 |
| 1457873325 | Clinton Fibroid & Vascular LLC | Radiology | 9131 Piscataway Rd Ste 240, Clinton, MD 20735-2578 | 2017-07-12 |
| 1366848632 | Vascular Access Center of Southern Maryland LLC | Radiology | 7651 Matapeake Business Dr, Suite 101, Brandywine, MD 20613-3038 | 2014-11-13 |
| 1184034563 | Joanne Lam | Radiology | 1800 Orleans St Ste 7203, Baltimore, MD 21287-0010 | 2014-05-06 |
| 1609138668 | Elie Portnoy | Radiology | 1800 Orleans St # 7203, Baltimore, MD 21287-0010 | 2012-06-14 |
| 1992039762 | Siobhan L Mcgrane | Radiology | Dept Ir Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0001 | 2009-09-28 |
| 1184859589 | Akemi Miller | Radiology | 20410 Observation Dr Ste 104, Germantown, MD 20876 | 2009-05-29 |
| 1629242425 | Nelson R. De Lara | Radiology | 26 Glen Alpine Rd, Phoenix, MD 21131-2404 | 2008-04-14 |
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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.