DOUGLAS BAZEMORE (NPI# 1972029007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972029007 |
| Entity Type | Individual |
| Full Name | DOUGLAS BAZEMORE |
| Practice Address |
3014 Cool Branch Road Churchville MD 21028 |
| Mailing Address |
3014 Cool Branch Rd Churchville MD 21028-1002 |
| Practice Telephone | (443) 617-7277 |
| Mailing Telephone | 4436177277 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers | ||
| N | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
3014 COOL BRANCH ROAD |
| City | CHURCHVILLE |
| State | MD |
| Zip Code | 21028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871920488 | Sarah A Craley | Behavioral Analyst | 3030 Grafton Ln, Churchville, MD 21028 | 2013-09-27 |
| 1346548617 | Ronald S Kushner | Dentist | 212 Goucher Way, Churchville, MD 21028 | 2011-03-10 |
| 1740453919 | Edward Allen Hurdle | Dentist | 2600 Churchville Road, Churchville, MD 21028 | 2008-04-09 |
| 1538377965 | Christina Megaludis Tsakiris | Dentist | 2832 A Churchville Road, Churchville, MD 21028 | 2007-05-18 |
| 1861994287 | Personalized Alternatives for Learning | Behavioral Analyst | 3030 Grafton Ln, Churchville, MD 21028 | 2018-03-01 |
| 1003479734 | Lisa Michelle Dymond | Speech-Language Pathologist | 124 Goucher Way, Churchville, MD 21028-1218 | 2019-04-18 |
| 1982048054 | Kyla Horseman | Physical Therapist | 3000 Whitefield Rd, Churchville, MD 21028-1308 | 2013-04-19 |
| 1770609158 | Melinda Lee Kreisel | Registered Nurse | 3104 Rolling Green Dr, Churchville, MD 21028-1314 | 2007-03-21 |
| 1407038623 | Edna E Hirsch | Dentist | 516 Glenville Rd, Churchville, MD 21028-1413 | 2007-11-29 |
| 1255575593 | Patricia Canepa | Speech-Language Pathologist | 217 Glenville Rd, Churchville, MD 21028-1414 | 2009-04-30 |
| Find all providers in zip 21028 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631058 | Reeshemah R Robinson | Contractor | 18435 Bishopstone Ct, Montgomery Village, MD 20886-0579 | 2020-05-26 |
| 1689293490 | Easymd Solutions Inc. | Contractor | 7849 Americana Cir, Glen Burnie, MD 21060-7811 | 2020-04-11 |
| 1710513320 | Exquisite Med LLC | Contractor | 411 Warfield Dr Apt 4019, Landover, MD 20785-5531 | 2020-03-14 |
| 1659928166 | Cindy Ferrier | Contractor | 15200 Dunleigh Dr, Bowie, MD 20721-3252 | 2019-08-20 |
| 1174184766 | Augustine B Nwabueze | Contractor | 5454 Harpers Farm Rd Apt B3, Columbia, MD 21044-1396 | 2019-06-24 |
| 1184187973 | Godfrey Thomas | Contractor | 4508 Crandall Ct, Lanham, MD 20706-1977 | 2019-04-09 |
| 1194205146 | Akshar Health Care Solutions LLC | Contractor | 5707 Calverton St Ste 2f, Catonsville, MD 21228-1772 | 2018-08-20 |
| 1164919718 | Lynn Michelle Gondeck | Contractor | 385 Tanyerhyde Dr, Westminster, MD 21157-6519 | 2018-04-19 |
| 1558867028 | Deborah Hammett | Contractor | 15502 Emily Ct, Accokeek, MD 20607-2041 | 2018-04-03 |
| 1356860472 | Helena Newman | Contractor | 2001 Downshire Ct, Waldorf, MD 20603-3886 | 2017-09-11 |
| Find all providers with the same taxonomy | ||||
| City | CHURCHVILLE |
| Zip Code | 21028 |
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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.