CHARLES J. LANCELOTTA JR., M.D., P.A. (NPI# 1902075997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902075997 |
| Entity Type | Organization |
| Organization Name | CHARLES J. LANCELOTTA JR., M.D., P.A. |
| Practice Address |
11055 Little Patuxent Pkwy Suite L7 Columbia MD 21044-2896 |
| Mailing Address |
11085 Little Patuxent Pkwy Suite Ll-007 Columbia MD 21044-2983 |
| Practice Telephone | 4107152533 |
| Practice Fax Number | 4107152536 |
| Mailing Telephone | 4107152533 |
| Mailing Fax Number | 4107152536 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | DR. CHARLES JOSEPH LANCELOTTA JR. (OWNER) |
| Authorized Official Telephone | 4107152533 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0009071 | MD | Other Service Providers |
| Street Address |
11055 LITTLE PATUXENT PKWY SUITE L7 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706618 | Bruce Michael Conger | Internal Medicine | 11055 Little Patuxent Pkwy, Suite103, Columbia, MD 21044-2896 | 2005-08-03 |
| 1861868622 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11055 Little Patuxent Pkwy, Suite 204, Columbia, MD 21044-2896 | 2015-08-17 |
| 1427434521 | Stacy Bartolich | Nurse Practitioner | 11055 Little Patuxent Pkwy, Suite 205, Columbia, MD 21044-2896 | 2015-07-31 |
| 1225462963 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 11055 Little Patuxent Pkwy, Suite L-1, Columbia, MD 21044 | 2013-08-29 |
| 1356645220 | Howard Open Mri LLC | Clinic/Center | 11055 Little Patuxent Pkwy, Suite L9, Columbia, MD 21044-2896 | 2011-01-06 |
| 1548562119 | St. Agnes Healthcare, Inc. | Clinic/Center | 11055 Little Patuxent Pkwy, L6, Columbia, MD 21044-2896 | 2010-12-02 |
| 1427380302 | Maryland Ivf Fertility Health & Wellness Center | Clinic/Center | 11055 Little Patuxent Pkwy, Columbia, MD 21044-2896 | 2010-02-03 |
| 1124250923 | Katherine Mansfield Houle | Social Worker | 11055 Little Patuxent Pkwy, Suite 201, Columbia, MD 21044-2896 | 2009-08-13 |
| 1336374321 | Rafeena Bacchus | Internal Medicine | 11055 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2896 | 2009-05-20 |
| 1437335320 | Clinical Neuroscience, LLC | Psychiatry & Neurology | 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-2896 | 2008-01-10 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
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| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1235530296 | Touch and Agree Solutions | Specialist | 10724 Cordage Walk, Columbia, MD 21044-3641 | 2014-09-09 |
| 1033521711 | Charles Crawhorn | Specialist | 989 Portland Rd, Columbia, KY 42728-5283 | 2014-05-29 |
| 1235556028 | Allison Hammond | Specialist | 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 | 2014-03-18 |
| 1588908024 | Frederick T Garner, Md, LLC | Specialist | 200 Arbor Lake Dr Ste 120, Columbia, SC 29223-4516 | 2012-11-21 |
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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.