MAGNOLIA FAMILY HEALTH LLC (NPI# 1972103661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972103661 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA FAMILY HEALTH LLC |
| Practice Address |
925 Bishop Walsh Rd Cumberland MD 21502-1845 |
| Practice Telephone | 3017593800 |
| Mailing Telephone | 3017593800 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | FAITH ANN RODEHEAVER (OWNER/PROVIDER) |
| Authorized Official Telephone | 3017593800 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
925 BISHOP WALSH RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283837 | Western Maryland Surgicenter LLP | Clinic/Center | 925 Bishop Walsh Rd, Ste 2, Cumberland, MD 21502-1845 | 2005-05-23 |
| 1619275617 | Gary L Wagoner Md P A | Family Medicine | 925 Bishop Walsh Rd, Suite 4, Cumberland, MD 21502-1845 | 2011-03-01 |
| 1821399205 | Ali Behnam, M.d.,p.a. | Obstetrics & Gynecology | 925 Bishop Walsh Rd, Suite # 7, Cumberland, MD 21502-1845 | 2010-11-16 |
| 1013224534 | Connie Jo Morris | Nurse Practitioner | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 | 2010-09-03 |
| 1073789624 | Wonsock Shin Md, LLC | Internal Medicine | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 | 2008-05-05 |
| 1376663591 | Karen Louise Golden | Psychologist | 925 Bishop Walsh Rd, Suite 3, Cumberland, MD 21502-1845 | 2007-03-30 |
| 1326079401 | Heather Lea Pesta | Counselor | 925 Bishop Walsh Rd, Suite 3, Cumberland, MD 21502 | 2006-07-06 |
| 1033195086 | Mohammad Ali Behnam | Obstetrics & Gynecology | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 | 2005-12-21 |
| 1972599249 | Wonsock Shin Md LLC | Internal Medicine | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 | 2005-09-22 |
| 1821098203 | Wonsock Shin | Internal Medicine | 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 | 2005-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845154 | Prestige Family Healthcare LLC | Nurse Practitioner | 214 Paca St, Cumberland, MD 21502-2844 | 2019-01-17 |
| 1649829979 | Zharmyn Garcia | Nurse Practitioner | 921 Seton Dr Ste F&g, Cumberland, MD 21502-1852 | 2019-09-09 |
| 1194382440 | Jeffery Allan Natale | Nurse Practitioner | 1602 Ford Ave, Cumberland, MD 21502-4612 | 2019-05-22 |
| 1760925507 | Christiane Opalka Garcia | Nurse Practitioner | 30a N Mechanic St, Cumberland, MD 21502-2314 | 2016-11-28 |
| 1518946219 | Linda Kay Gee | Nurse Practitioner | 200 Glenn St, Cumberland, MD 21502-2436 | 2006-01-11 |
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| 1124640974 | Liberty Family Care | Nurse Practitioner | 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 | 2020-05-15 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.