Richard Malcolm Susel (NPI# 1952307373, PAC ID# 0244256402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1952307373 |
| PAC ID by PECOS | 0244256402 |
| Professional Enrollment ID | I20110331000338 |
| Full Name | Richard Malcolm Susel |
| Organization Legal Name | PHYSICIANS EYE CARE CENTER LLC |
| Address |
11055 Little Patuxent Park Suite 105 Columbia MD 21044 |
| Phone Number | 4109648285 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1964 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9436175684 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1001 Pine Heights Ave, Baltimore, MD 21229-5208 | 4106449515 | PHYSICIANS EYE CARE CENTER LLC |
| 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 | 4109648285 | PHYSICIANS EYE CARE CENTER LLC |
| Organization Legal Name | PHYSICIANS EYE CARE CENTER LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome Ross | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Connie Marie Mcrill | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Jonathan R Etter | Ophthalmology | Physicians Eye Care Center LLC | 2400 Longstone Ln, Suite 206, Marriottsville, MD 21104-1533 |
| Jeffrey L Wexler | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Marjorie K Warden | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Alexandre F Gauthier | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Street Address |
11055 LITTLE PATUXENT PARK SUITE 105 |
| City | COLUMBIA |
| State | MD |
| Zip | 21044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome Ross | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Connie Marie Mcrill | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Jeffrey L Wexler | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Marjorie K Warden | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Alexandre F Gauthier | Ophthalmology | Physicians Eye Care Center LLC | 11055 Little Patuxent Park, Suite 105, Columbia, MD 21044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Lewis | Clinical Social Worker | 5222 Harpers Farm Rd, Columbia, MD 21044-1012 | |
| Jean L Jerardi | Clinical Nurse Specialist | 10852 Green Mountain Circle, Columbia, MD 21044-2320 | |
| Cory James Hough | Physical Therapy | Maryland Sportscare and Rehab LLC | 5435 Beaverkill Rd, Columbia, MD 21044-2359 |
| Ainsley M Meehan | Physical Therapy | Maryland Sportscare and Rehab LLC | 5435 Beaverkill Rd, Columbia, MD 21044-2359 |
| Diane L Adlestein | Psychologist, Clinical | 5305 Village Ctr Dr, Suite 210, Columbia, MD 21044-2384 | |
| Alexandra P Cargo | Psychologist, Clinical | Family and Childrens Services of Central Maryland Inc | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 |
| Kim Jones-fearing | Psychiatry | Family and Childrens Services of Central Maryland Inc | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 |
| Ilene S Gallner Toller | Clinical Social Worker | Family and Childrens Services of Central Maryland Inc | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 |
| Tomi Schon | Clinical Social Worker | Family and Childrens Services of Central Maryland Inc | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 |
| Susan Holliday | Clinical Social Worker | Family and Childrens Services of Central Maryland Inc | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 |
| Find all physicians in zip 21044 | |||
| City | COLUMBIA |
| Zip Code | 21044 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | COLUMBIA + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.