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).
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 |
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 |
Street Address |
3000 MANCHESTER RD SUITE 5 |
City | MANCHESTER |
State | MD |
Zip Code | 21102-1850 |
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 |
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 Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | MANCHESTER |
Zip Code | 21102 |
Please comment or provide details below to improve the information on MANCHESTER MEDICAL CENTER, LLC.
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.