JESSICA MEDANI (NPI# 1922453109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922453109 |
| Entity Type | Individual |
| Full Name | JESSICA MEDANI |
| Practice Address |
504 E Ridgeville Blvd Mount Airy MD 21771 |
| Mailing Address |
504 E Ridgeville Blvd Mount Airy MD 21771-5942 |
| Practice Telephone | 3018295906 |
| Mailing Telephone | 3018295906 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D0086939 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 S. Green Street, Room N3e09, Baltimore, MD 21201 | 4103286110 |
| Street Address |
504 E RIDGEVILLE BLVD |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316962962 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5252 | 2006-07-13 |
| 1588217285 | Jenna Nicole Dahle | Physician Assistant | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2019-07-22 |
| 1871007898 | Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2017-11-29 |
| 1760921688 | Randa Muhtaseb | Physical Therapist | 504 E Ridgeville Blvd, Ste 107, Mount Airy, MD 21771-5942 | 2017-02-13 |
| 1073963146 | Mnr Industries LLC | Clinic/Center | 504 E Ridgeville Blvd, Suite 102, Mount Airy, MD 21771-5942 | 2016-06-20 |
| 1407212814 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 504 E Ridgeville Blvd, Suite 107, Mount Airy, MD 21771-5252 | 2016-01-14 |
| 1275902389 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2015-09-18 |
| 1578957585 | Crystal Riley | Physician Assistant | 504 E Ridgeville Blvd, Suite 110, Mount Airy, MD 21771-5942 | 2015-03-27 |
| 1801231691 | Andrew Woo | Family Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2013-05-07 |
| 1407117898 | Michelle Anne Vonn | Physician Assistant | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5942 | 2012-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1982942850 | Terrance Larry Hartmann | Physician Assistant | 504 E. Ridgeville Blvd, Suite 110, Mount Airy, MD 21771 | 2013-01-28 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912430653 | Zain Moosvi | Internal Medicine | 13673 Samhill Dr, Mount Airy, MD 21771-3918 | 2017-04-10 |
| 1124003249 | Jyothi Rao-mahadevia | Internal Medicine | 2702 Back Acre Circle, Suite 290c, Mount Airy, MD 21711-7769 | 2005-12-12 |
| 1104823327 | Jan Kriska | Internal Medicine | 905 Rockford St, Mount Airy, NC 27030-5323 | 2005-07-01 |
| 1114467404 | Northern Hospital of Surry County | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030-5322 | 2017-03-06 |
| 1962866616 | Bryce Joseph Hamilton | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030 | 2016-04-08 |
| 1043690522 | Forsyth Memorial Hospital Inc | Internal Medicine | 2133 Rockford St, Suite 1400, Mount Airy, NC 27030-6587 | 2015-06-01 |
| 1568869089 | Surry Regional Health Services, Inc. | Internal Medicine | 314 S South St, Suite 800, Mount Airy, NC 27030-4491 | 2014-11-26 |
| 1063701035 | Roy John Peters | Internal Medicine | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2011-03-30 |
| 1487953618 | Esther Joan Street | Internal Medicine | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2011-03-28 |
| 1326244658 | Veselin Stoyanov Gizdarski | Internal Medicine | 905 Rockford St, Mount Airy, NC 27030-5323 | 2007-06-24 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
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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.