DR. JOHN ROBERT TICEHURST (NPI# 1962558437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962558437 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT TICEHURST |
| Credential | M.D. |
| Practice Address |
7385 Baltimore Annapolis Blvd Ste L Glen Burnie MD 21061-3278 |
| Mailing Address |
4940 Eastern Ave Clinical Labs, Room A102, Johns Hopkins Bayview Med Ctr Baltimore MD 21224-2735 |
| Practice Telephone | 4109996421 |
| Mailing Telephone | (410) 550-0648 |
| Mailing Fax Number | 4105502109 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
D0050680 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
7385 BALTIMORE ANNAPOLIS BLVD STE L |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952894503 | Jackson Wilard Snyder | Pathology | 9443 Turnberry Dr, Potomac, MD 20854-5443 | 2018-06-08 |
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1689923989 | Laboratory Rx, LLC | Pathology | 92 Thomas Johnson Dr Ste 205, Frederick, MD 21702-4403 | 2012-08-31 |
| 1396944344 | Kathleen Murphy | Pathology | Park Ss 202c, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2007-07-11 |
| 1326244369 | Edward N Siguel | Pathology | 501 Crooked Creek Dr, Rockville, MD 20850-5773 | 2007-06-26 |
| 1053352070 | Saint Paul Place Specialists, Inc. | Pathology | 345 St. Paul Place, 7th Floor, Department of Pathology, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1437159381 | Professional Diagnostics, LLC | Pathology | 106 Bow St, Elkton, MD 21921-5544 | 2005-07-21 |
| 1740717396 | Nicolas Alejandro Giraldo Castillo | Pathology | 600 N Wolfe St Rm 401, Baltimore, MD 21287-0005 | 2017-05-15 |
| 1811293822 | Capital Digestive Care LLC | Pathology | 4831 Telsa Dr, Suite F, Bowie, MD 20715-4323 | 2011-02-09 |
| 1952595712 | Ruth Elizabeth Dayhoff | Pathology | 1335 E West Hwy, Va, Suite 3100, Silver Spring, MD 20910-3225 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on DR. JOHN ROBERT TICEHURST.
| 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.