CLEOPATRA KULASI (NPI# 1962036624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962036624 |
| Entity Type | Individual |
| Full Name | CLEOPATRA KULASI |
| Practice Address |
196 Thomas Johnson Dr Frederick MD 21702-4397 |
| Mailing Address |
10416 Falling Leaf Ct Springdale MD 20774-7507 |
| Practice Telephone | 3016946688 |
| Mailing Telephone | 2023788079 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R214420 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
196 THOMAS JOHNSON DR |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283579 | Sallyann Mccarthy | Registered Nurse | 196 Thomas Johnson Dr, Suite 120-b, Frederick, MD 21702-4397 | 2005-08-29 |
| 1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
| 1912441890 | Heather Wilber | Physician Assistant | 196 Thomas Johnson Dr, Suite 135, Frederick, MD 21702-4397 | 2016-12-12 |
| 1952858771 | Tania Thornton | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2016-09-09 |
| 1891150744 | Dental Associates of Frederick, LLC | Dentist | 196 Thomas Johnson Dr, Suite 235, Frederick, MD 21702-4397 | 2015-12-18 |
| 1194119818 | Corey Amber Ward | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2015-03-19 |
| 1841698925 | Alexander King | Acupuncturist | 196 Thomas Johnson Dr, 125, Frederick, MD 21702-4397 | 2014-12-05 |
| 1104237858 | Dr. E.j. Stringer, D.m.d., P.a. | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2014-05-15 |
| 1720326002 | Dr. Eunjoo Song Stringer Dmd | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2013-01-22 |
| 1235475674 | Gayatri Pestonjee | Nurse Anesthetist, Certified Registered | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2012-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| 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 |
|---|---|---|---|---|
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1033754221 | Linda A Cann | Family Medicine | 1738 Wheyfield Dr, Frederick, MD 21701-9337 | 2019-11-12 |
| 1730633785 | Skyline Physicians of Md LLC | Family Medicine | 2110 Walnut Ridge Ct # 1l, Frederick, MD 21702-5921 | 2016-08-08 |
| 1538372826 | Jaller Family Medicine, PC | Family Medicine | 184 Thomas Johnson Dr Ste 200, Frederick, MD 21702-4561 | 2007-05-07 |
| 1083718308 | Naaz A Hussain | Family Medicine | 195 Thomas Johnson Drive, Frederick, MD 21702 | 2006-09-08 |
| 1972606481 | Guoping Xu | Family Medicine | 45 Thomas Johnson Dr Ste 109, Frederick, MD 21702 | 2006-09-07 |
| 1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
| 1073575015 | Praveen K Bolarum | Family Medicine | 196 Thomas Johnson Dr Ste 135, Frederick, MD 21702 | 2006-04-05 |
| 1447221460 | David Elijah Jaller | Family Medicine | 184 Thomas Johnson Dr, Suite 200, Frederick, MD 21702 | 2006-01-28 |
| 1164492401 | Julio J Menocal | Family Medicine | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4059 | 2006-01-26 |
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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.