DR. JASON R. DITTRICH (NPI# 1902897895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902897895 |
| Entity Type | Individual |
| Full Name | DR. JASON R. DITTRICH |
| Credential | M.D. |
| Practice Address |
2002 Medical Pkwy Suite #235 Annapolis MD 21401-3046 |
| Practice Telephone | 4102662770 |
| Practice Fax Number | 4108416251 |
| Mailing Telephone | 4102662770 |
| Mailing Fax Number | 4108416251 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
D0058803 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AAD SHIPLEYS | 545L E502 | 01 |
| MD | RR MEDICARE | 300134259 | 01 |
| MD | AAD AA COUNTY | E488 | 01 |
| MD | BCBS | 10690026 | 01 |
| MD | AETNA PPO | 8317071 | 01 |
| MD | AAD PG COUNTY | G01780A06 | 01 |
| MD | AETNA HMO/POS | 2622593 | 01 |
| MD | 434340900 | 05 |
| Street Address |
2002 MEDICAL PKWY SUITE #235 |
| 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 | 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 |
|---|---|---|---|---|
| 1093977415 | Frank J Groshek | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2008-06-26 |
| 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.