GREGORIO M. BELLOSO M.D. P.A. (NPI# 1962791442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962791442 |
| Entity Type | Organization |
| Organization Name | GREGORIO M. BELLOSO M.D. P.A. |
| Practice Address |
11974 Edgehill Terrace Rd Princess Anne MD 21853-2105 |
| Mailing Address |
5302 Chinaberry Dr Salisbury MD 21801-1265 |
| Practice Telephone | 4106510011 |
| Mailing Telephone | 4103416321 |
| Mailing Fax Number | 4103417082 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | GREGORIO M BELLOSO (OWNER) |
| Authorized Official Telephone | 14103416321 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D29505 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 46234 | 05 |
| Street Address |
11974 EDGEHILL TERRACE RD |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790795672 | Hermitage Healthcare of Manokin Manor, LLC | Skilled Nursing Facility | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2006-08-09 |
| 1023652757 | Marie T Swartz | Physical Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-11-06 |
| 1275181257 | Axis Health At Manokin Opco LLC | Skilled Nursing Facility | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-09-03 |
| 1851857809 | Lorraine Prosser Elliott | Occupational Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-02-14 |
| 1770049876 | April Jane Gumatas Corros | Physical Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2019-02-13 |
| 1134658107 | Clifford Francis Rideout IIi | Physical Therapist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2017-06-05 |
| 1730467309 | Cassandra Joy Eck | Speech-Language Pathologist | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2011-07-29 |
| 1366720088 | Aurora Senior Living of Manokin, LLC | Skilled Nursing Facility | 11974 Edgehill Terrace Rd, Princess Anne, MD 21853-2105 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| 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 |
|---|---|---|---|---|
| 1679927982 | Lower Shore Immediate Care LLC | Family Medicine | 12302 Somerset Ave, Suite A/b, Princess Anne, MD 21853-3099 | 2016-04-22 |
| 1184616419 | Charles Donald Stegman Jr. | Family Medicine | 30434 Mount Vernon Rd, Princess Anne, MD 21853-1400 | 2005-08-23 |
| 1285824284 | Benhur Bushara Mohammed | Family Medicine | 12145 Elm St, Princess Anne, MD 21853-1358 | 2007-07-26 |
| 1831183169 | Princess Anne Family Practice | Family Medicine | 30434 Mount Vernon Rd, Princess Anne, MD 21853-1400 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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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.