CALLA ZELAZNY (NPI# 1962887901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962887901 |
| Entity Type | Individual |
| Full Name | CALLA ZELAZNY |
| Credential | PA-C |
| Practice Address |
1110 Annapolis Rd Odenton MD 21113-1602 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 4433513917 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C05848 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 Franklin Square Dr, Baltimore, MD 212373901 | 5708549231 |
| Street Address |
1110 ANNAPOLIS RD |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942284401 | William Stanley Sykora | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2005-11-30 |
| 1871090985 | Kayla M Jones | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2018-04-06 |
| 1174053474 | Rohini Manda | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2017-06-19 |
| 1285005389 | Susan Arnold | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2015-10-14 |
| 1427485515 | Lilit Vardanyan | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-10-03 |
| 1801238902 | Cara Elizabeth Arcidiacono | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-07-18 |
| 1003251158 | Jean Masoso | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-05-02 |
| 1598108318 | Philip Laurence Mussenden Jr. | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-04-10 |
| 1689937732 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 1110 Annapolis Rd, Odenton, MD 21113 | 2012-06-22 |
| 1386938058 | Gabriel Agbanyim | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2011-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1891014999 | Corinne R Ponzi | Physician Assistant | 1130 Annapolis Rd Ste 101, Odenton, MD 21113-1622 | 2010-05-28 |
| 1508044041 | Christina Nicole Sollerer | Physician Assistant | 689 Winding Stream Way, Unit 303, Odenton, MD 21113-2725 | 2008-02-06 |
| 1639781263 | Angela Barber | Physician Assistant | 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 | 2020-08-17 |
| 1457993222 | Courtney Green | Physician Assistant | 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 | 2019-10-14 |
| 1881259653 | John Paul Kelley Jr. | Physician Assistant | 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 | 2019-05-07 |
| 1871090985 | Kayla M Jones | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2018-04-06 |
| 1285005389 | Susan Arnold | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2015-10-14 |
| 1427485515 | Lilit Vardanyan | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-10-03 |
| 1801238902 | Cara Elizabeth Arcidiacono | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-07-18 |
| Find all providers in ODENTON | ||||
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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.