MANCHESTER MEDICAL CENTER, LLC


Address: 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850
Phone: 4102399500

MANCHESTER MEDICAL CENTER, LLC (NPI# 1912457821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912457821
Entity Type Organization
Organization Name MANCHESTER MEDICAL CENTER, LLC
Practice Address 3000 Manchester Rd
Suite 5
Manchester
MD 21102-1850
Practice Telephone 4102399500
Mailing Telephone 4102399500
Enumeration Date 2016-10-04
Last Update Date 2017-01-13
Authorized Official Name DIXIE L COLGAN (SOLE PROPRIETOR)
Authorized Official Telephone 4432556417
Authorized Official Credential CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
SP014888 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3000 MANCHESTER RD
SUITE 5
City MANCHESTER
State MD
Zip Code 21102-1850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659339851 Falguni Ketan Parikh Internal Medicine 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850 2006-05-04
1467859306 Dixie Lee Colgan Nurse Practitioner 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850 2014-11-20
1821387358 Manchester Medical Group, LLC Internal Medicine 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850 2011-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669516183 Victor R Aybar Podiatrist 2963 Manchester Rd Ste D, Manchester, MD 21102 2007-02-17
1114924115 Long View Nursing Home, Inc. Skilled Nursing Facility 3332 Main St, Pob 390, Manchester, MD 21102-0390 2005-07-05
1194364588 Cynthia Ekwutife Registered Nurse 2504 Highcrest Ct, Manchester, MD 21102-1413 2020-01-02
1093058596 Angella Vassell Counselor 3206 Mccurley Dr, Manchester, MD 21102-1449 2013-04-03
1033368337 Michael Gale Eyer Family Medicine 4175 Hanover Pike, Manchester, MD 21102-1454 2008-09-11
1073017224 Stephanie Lynn Vagnier Nurse Practitioner 4175 Hanover Pike, Manchester, MD 21102-1454 2018-03-22
1306252341 Carroll Health Group, LLC Family Medicine 4175 Hanover Pike, Suite A, Manchester, MD 21102-1454 2014-07-10
1790261428 Kayla Dolch Behavioral Analyst 3907 Calvins Twilight Way, Manchester, MD 21102-1512 2018-07-16
1801204797 Heather Schwendeman-kincaid Behavioral Analyst 2901 Holland Dr, Manchester, MD 21102-1737 2014-07-24
1285800110 Jacqueline G. Hancock, Crna, Pa Nurse Anesthetist, Certified Registered 3245 Farm Ln, Manchester, MD 21102-1780 2008-04-30
Find all providers in zip 21102

Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710377502 Molly Ann Rikhye Clinical Nurse Specialist 10421 Oakland Sang Run Rd, Mc Henry, MD 21541-1526 2015-01-31
1659776417 Musu Turay Clinical Nurse Specialist 203 Mattawoman Way, Accokeek, MD 20607-3424 2014-10-22
1609497783 Sana Tarapore Clinical Nurse Specialist 8315 Cherry Ln, Laurel, MD 20707-4830 2020-04-30
1295361095 Carole Nicole Louis Clinical Nurse Specialist 2401 W Belvedere Ave, Baltimore, MD 21215-5216 2020-03-13
1306311717 Nanette Gabrielle Stein Clinical Nurse Specialist 7601 Osler Dr, Towson, MD 21204-7700 2018-10-11
1689029704 Robert Eugene Harris Iv Clinical Nurse Specialist 620 N Caroline St, Baltimore, MD 21205-1839 2016-04-26
1316315187 Shanakay Haughton Clinical Nurse Specialist 9515 Deereco Rd, Suite 205, Timonium, MD 21093-2116 2015-09-09
1487038543 Cpt Clinical Nurse Specialist 249 Henderson Ave, Cumberland, MD 21502-1638 2015-07-17
1770962649 Adriana Meyer-alonzo Clinical Nurse Specialist 13 C St, Laurel, MD 20707-4152 2015-05-26
1962800144 Charm City House Calls Clinical Nurse Specialist 3118 Abell Ave, Baltimore, MD 21218-3411 2014-12-19
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Competitor

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City MANCHESTER
Zip Code 21102

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Dataset Information

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.

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