DR. ROBERT S EDEN (NPI# 1902806409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902806409 |
| Entity Type | Individual |
| Full Name | DR. ROBERT S EDEN |
| Credential | MD |
| Practice Address |
2002 Medical Pkwy Suite 460 Annapolis MD 21401-3046 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4434814080 |
| Practice Fax Number | 4434814650 |
| Mailing Telephone | 4434815047 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0030701 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 2133455 | 01 |
| MD | AETNA PPO | 4067774 | 01 |
| MD | 352161300 | 05 | |
| MD | 10572 | KAISER | 01 |
| MD | UNITED HEALTHCARE | 1070096 | 01 |
| MD | BCBS | 42571202 | 01 |
| MD | FEDERAL WORKMAN'S COMP | 606897000 | 01 |
| MD | 521295 | AETNA HMO | 01 |
| MD | AMERICHOICE | 0108323 | 01 |
| DC | BCBS | 0001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558473298 | Robert David Eden | Obstetrics & Gynecology | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202-3064 | 2006-08-31 |
| 1467495572 | Robert Emanuel Eden | Pediatrics | 100 Highland Ave, Suite 200, Providence, RI 02906-2740 | 2006-06-14 |
| 1457307811 | Robert A Eden | Specialist | 1220 New Scotland Rd, Suite 101, Slingerlands, NY 12159-9208 | 2006-05-26 |
| Street Address |
2002 MEDICAL PKWY SUITE 460 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448953 | Ayanna L James | Obstetrics & Gynecology | 2002 Medical Pkwy, Suite 635, Annapolis, MD 21401-3046 | 2005-06-28 |
| 1336611466 | Lauren Mason | Social Worker | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-12-31 |
| 1184131542 | Amanda Nicole Minnitte | Physical Therapy Assistant | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-01-08 |
| 1255878526 | Maryland Medicinal LLC | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, Suite 150, Annapolis, MD 21401-3046 | 2017-01-25 |
| 1669917993 | Back To Fit Inc. | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, 150, Annapolis, MD 21401-3046 | 2016-12-22 |
| 1821549528 | Anne Arundel Physician Group, LLC | Family Medicine | 2002 Medical Pkwy, Suite 460, Annapolis, MD 21401-3046 | 2016-10-18 |
| 1114372497 | Anne Arundel Physician Group, LLC | Clinical Neuropsychologist | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2016-04-25 |
| 1487040036 | Gaurav Srivastava | Ophthalmology | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2015-04-10 |
| 1164828679 | Med-park LLC | Pharmacy | 2002 Medical Pkwy, Ste 170, Annapolis, MD 21401-3046 | 2014-11-10 |
| 1992147631 | Zachary Scott La Fratta | Audiologist | 2002 Medical Pkwy, Suite 230 Sajak Building, Annapolis, MD 21401-3046 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850334 | Anne Arundel Physician Group, LLC | Family Medicine | 1332 Cape St Claire Rd, Annapolis, MD 21409-5216 | 2019-09-17 |
| 1275190159 | Focal Integrated Healthcare | Family Medicine | 1125 West St Ste 235, Annapolis, MD 21401-3607 | 2019-05-25 |
| 1285020040 | Christine Elizabeth Jones | Family Medicine | 129 Lubrano Dr Ste 100, Annapolis, MD 21401 | 2015-04-08 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1558522458 | Donald Hugh Hislop | Family Medicine | 1887 Ritchie Hwy, Annapolis, MD 21409-6229 | 2008-06-23 |
| 1902096431 | Charles R. Staubs | Family Medicine | 88 Dewey Dr, Annapolis, MD 21401-2271 | 2007-07-31 |
| 1710100474 | Mark Garzon | Family Medicine | 1910 Towne Centre Blvd, Suite 210, Annapolis, MD 21401-3598 | 2007-04-11 |
| 1285670711 | Ramona G. Seidel, M.d., LLC | Family Medicine | 530 College Pkwy, Annapolis, MD 21409-4614 | 2006-06-22 |
| 1922048271 | Donald Cornelius Roane | Family Medicine | 1616 Forest Dr, Suite 1, Annapolis, MD 21403-1019 | 2006-06-07 |
| 1235179672 | Kari Fai Alperovitz-bichell | Family Medicine | 701 Glenwood St, Annapolis, MD 21401-2350 | 2006-06-07 |
| Find all providers in ANNAPOLIS | ||||
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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.