BAY HEMATOLOGY ONCOLOGY, P.A. (NPI# 1962941575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962941575 |
| Entity Type | Organization |
| Organization Name | BAY HEMATOLOGY ONCOLOGY, P.A. |
| Other Organization Name | RICHARD G ASHFORD, CRNP |
| Practice Address |
2977 4h Park Rd Suite 102 Centreville MD 21617-2232 |
| Practice Telephone | 4107584030 |
| Practice Fax Number | 4107584733 |
| Mailing Telephone | 4107584030 |
| Mailing Fax Number | 4107584733 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SHARON K BOOZE (PRACTICE MANAGER) |
| Authorized Official Telephone | 4108205945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R216298 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 541083500 | 05 |
| Other Name | Type Code |
|---|---|
| Richard G Ashford, CRNP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445875 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-10 |
| 1871032409 | Bay Hematology Oncology, P.a. | Nurse Practitioner | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1669911293 | Bay Hematology Oncology, P.a. | Clinic/Center | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1891234688 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-14 |
| Street Address |
2977 4H PARK RD SUITE 102 |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445875 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-10 |
| 1871032409 | Bay Hematology Oncology, P.a. | Nurse Practitioner | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1669911293 | Bay Hematology Oncology, P.a. | Clinic/Center | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1891234688 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1811542764 | Global Family Medicine LLC | Nurse Practitioner | 14073 Lotus Ln Apt 915, Centreville, VA 20120-7402 | 2019-08-07 |
| 1346809985 | Rajwinder Kaur Sohi | Nurse Practitioner | 14562 Old Mill Rd, Centreville, VA 20121-6217 | 2019-06-07 |
| 1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1538554076 | Patricia Lee | Nurse Practitioner | 1281 Abercrombie Rd, Centreville, AL 35042-5104 | 2015-04-01 |
| 1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
| 1982761078 | Candace S Cane | Nurse Practitioner | 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 | 2007-01-02 |
| 1093316663 | Samantha Jo Moody | Nurse Practitioner | 658 E Main St, Centreville, MI 49032-9627 | 2020-11-02 |
| 1811507114 | Amber Smith Flowers | Nurse Practitioner | 178 Highway 24 E, Centreville, MS 39631-4171 | 2020-08-03 |
| 1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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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.