Samantha A Brogan (NPI# 1164852703, PAC ID# 0244462596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164852703 |
| PAC ID by PECOS | 0244462596 |
| Professional Enrollment ID | I20140421000593 |
| Full Name | Samantha A Brogan |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
3500 Old Washington Rd 302 Women's Health Waldorf Waldorf MD 20602-3225 |
| Phone Number | 3018437737 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 23511 Hollywood Rd, Suite 2, Leonardtown, MD 20650-5833 | 3019970611 | MEDSTAR MEDICAL GROUP II LLC |
| 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 | 3018437737 | MEDSTAR MEDICAL GROUP II LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Physicians | 582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah T Bergman | Internal Medicine | Medstar Medical Group II LLC | 9105 Franklin Square Dr, Rosedale, MD 21237-3930 |
| Mary Heathcote | Family Medicine | Medstar Medical Group II LLC | 1818 H St Nw, Washington, DC 20433-0001 |
| Lauren Marie Perz | Family Medicine | Medstar Medical Group II LLC | 23511 Hollywood Rd, Suite 2, Leonardtown, MD 20650-5833 |
| Tolulope A Agunbiade | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 1145 19th St Nw, 311 Mmg At 19th Street Nw, Washington, DC 20036-3735 |
| Terence Leonard O'rourke | Family Medicine | Medstar Medical Group II LLC | 1120 20th St Nw, Medstar At Lafayette, Washington, DC 20036-3406 |
| Khalil Ibrahim | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 5601 Loch Raven Blvd Russel Morga, Ste206, Baltimore, MD 21239-2945 |
| Robert C Clark | Internal Medicine | Medstar Medical Group II LLC | 3301 New Mexico Ave, 205 Mmg At New Mexico Ave, Washington, DC 20016-3627 |
| Elizabeth M Hodson | Nurse Practitioner | Medstar Medical Group II LLC | 12111 Darnestown Rd, Gaithersburg, MD 20878-3211 |
| Caroline Simm | Nurse Practitioner | Medstar Medical Group II LLC | 2227 Old Emmorton Rd, 220 Mmgii At Smaldore, Bel Air, MD 21015-6189 |
| Christian C Glaser | Sports Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Street Address |
3500 OLD WASHINGTON RD 302 WOMEN'S HEALTH WALDORF |
| City | WALDORF |
| State | MD |
| Zip | 20602-3225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sailaja C Nandipati | Rheumatology | Medstar Medical Group-southern Maryland LLC | 3500 Old Washington Rd, 102 Medstar Shah Waldorf Cancer Center, Waldorf, MD 20602-3205 |
| Don J Fontana | Plastic and Reconstructive Surgery | 3500 Old Washington Rd, Suite 201, Waldorf, MD 20602-3238 | |
| Julita Y Lett | Obstetrics/gynecology | Medstar Medical Group II LLC | 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 |
| Meghan E Malentacchi | Obstetrics/gynecology | Medstar Medical Group II LLC | 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 |
| Ebenezer G Nettey | Obstetrics/gynecology | Medstar Medical Group II LLC | 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 |
| Ashley Siemonh | Nurse Practitioner | Medstar Medical Group II LLC | 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 |
| William Delapaz | Obstetrics/gynecology | Medstar Medical Group II LLC | 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 |
| Nelson A Alawode | Obstetrics/gynecology | Medstar Medical Group II LLC | 3500 Old Washington Rd, 302 Women's Health Waldorf, Waldorf, MD 20602-3225 |
| Srinivas M Sastry | Ophthalmology | 3500 Old Washington Rd, Suite 203, Waldorf, MD 20602-3206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WALDORF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Samantha A Brogan.
| 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.