MISS BETHANY ELYSE KANE (NPI# 1962838607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962838607 |
| Entity Type | Individual |
| Full Name | MISS BETHANY ELYSE KANE |
| Credential | PA-C |
| Practice Address |
3445 Box Hill Corporate Center Dr Abingdon MD 21009-1223 |
| Mailing Address |
Po Box 1409 26840 Point Lookout Road Leonardtown MD 20650-1409 |
| Practice Telephone | 4105695151 |
| Mailing Telephone | 3014758091 |
| Mailing Fax Number | 3014756712 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0005150 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26840 Point Lookout Road, Leonardtown, MD 206501409 | 3014758091 | 3014756712 |
| Street Address |
3445 BOX HILL CORPORATE CENTER DR |
| City | ABINGDON |
| State | MD |
| Zip Code | 21009-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629104716 | Dorothea Tucker | Family Medicine | 3445 Box Hill Corporate Center Dr, E, Abingdon, MD 21009-1223 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657986 | Cpdg,ab, LLC | Dentist | 3400 Box Hill Corporate Center Drive, Suite 120, Abingdon, MD 21009 | 2017-02-10 |
| 1356734230 | Pardis Parizadeh | Dentist | 3435 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009 | 2015-03-16 |
| 1033529391 | Ademola O Cole | Dentist | 3486 C Emmorton Road, Abingdon, MD 21009 | 2014-05-07 |
| 1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
| 1376964726 | Jessica L Brinegar | Physical Therapist | 3465 Box Hill Corporate Center Dr Ste G, Abingdon, MD 21009 | 2014-01-01 |
| 1790024016 | Pamela S Baer | Psychologist | 3105 Emmorton Road, Abingdon, MD 21009 | 2013-02-06 |
| 1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
| 1306037627 | Jacquelin Landsman | Physical Therapist | Upper Chesapeake Orthopedics: Center for Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 | 2007-08-05 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1750467338 | Michael Kevin Block | Podiatrist | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009 | 2006-10-27 |
| Find all providers in zip 21009 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841694726 | Heather Rosario | Physician Assistant | 100 Walter Ward Blvd Ste 100, Abingdon, MD 21009-1283 | 2014-10-21 |
| 1174926695 | Rabia Qutubuddin | Physician Assistant | 176 Valley St Nw, Abingdon, VA 24210-2859 | 2014-09-29 |
| 1174924922 | Travis Patton | Physician Assistant | 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211-7664 | 2014-09-11 |
| 1962803361 | Lydia Novruzov | Physician Assistant | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2014-09-04 |
| 1770764789 | Melissa Lynn Hartwell | Physician Assistant | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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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.