Gregory M Blanton (NPI# 1689992760, PAC ID# 0840431151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1689992760 |
| PAC ID by PECOS | 0840431151 |
| Professional Enrollment ID | I20130730000323 |
| Full Name | Gregory M Blanton |
| Organization Legal Name | MEDSTAR URGENT CARE LLC |
| Address |
5454 Wisconsin Ave Nw 401 Medstar Chevy Chase Chevy Chase MD 20815-6901 |
| Phone Number | 3012159440 |
| Gender | M |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9335303155 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210003 | UNIVERSITY OF MD PRINCE GEORGE'S HOSPITAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 5454 Wisconsin Ave Nw, 401 Medstar Chevy Chase, Chevy Chase, MD 20815-6901 | 3012159440 | MEDSTAR URGENT CARE LLC |
| 12111 Darnestown Rd, Gaithersburg, MD 20878-3211 | 3019263095 | MEDSTAR URGENT CARE LLC |
| 3064 Waldorf Marketplace, Medstar Promptcare Waldorf, Waldorf, MD 20603-4871 | 3019325960 | MEDSTAR URGENT CARE LLC |
| 11915 Georgia Ave, Wheaton, MD 20902-2065 | 3019424505 | MEDSTAR URGENT CARE LLC |
| Organization Legal Name | MEDSTAR URGENT CARE LLC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika C Cook | Nurse Practitioner | Medstar Urgent Care LLC | 3064 Waldorf Marketplace, Medstar Promptcare Waldorf, Waldorf, MD 20603-4871 |
| Maria A Herbstritt | Nurse Practitioner | Medstar Urgent Care LLC | 1805 Columbia Rd Nw, Washington, DC 20009-2001 |
| Geneva Randolph Cason | Nurse Practitioner | Medstar Urgent Care LLC | 6401 America Blvd, Hyattsville, MD 20782-2357 |
| Ginikachukwu Agudosi | Nurse Practitioner | Medstar Urgent Care LLC | 3610 C King St, Alexandria, VA 22302-1908 |
| Barbara Frimpong | Nurse Practitioner | Medstar Urgent Care LLC | 228 7th St Se, Washington, DC 20003-4306 |
| Megan Walling | Physician Assistant | Medstar Urgent Care LLC | 3064 Waldorf Market Pl, Waldorf, MD 20603-4871 |
| Emily Kathleen Snodgrass | Family Medicine | Medstar Urgent Care LLC | 11915 Georgia Ave, Wheaton, MD 20902-2065 |
| Asia T Mcdonald | Family Medicine | Medstar Urgent Care LLC | 8605 Ridgelys Choice Dr, Nottingham, MD 21236-2953 |
| Sarah N Callanan | Nurse Practitioner | Medstar Urgent Care LLC | 1420 Key Hwy, Baltimore, MD 21230-5546 |
| Kerry S Mccartney | Nurse Practitioner | Medstar Urgent Care LLC | 37767 Market Dr, Charlotte Hall, MD 20622-3188 |
| Street Address |
5454 WISCONSIN AVE NW 401 MEDSTAR CHEVY CHASE |
| City | CHEVY CHASE |
| State | MD |
| Zip | 20815-6901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Shah | Internal Medicine | Medstar Urgent Care LLC | 5454 Wisconsin Ave Nw, Chevy Chase, MD 20815-6901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassand Crispo Palmer | Physical Therapy | Level Physical Therapy LLC | 5530 Wisconsin Ave, Suite 702, Chevy Chase, MD 20815-3032 |
| Ann M Kast | Physical Therapy | Level Physical Therapy LLC | 5530 Wisconsin Ave, Suite 702, Chevy Chase, MD 20815-3032 |
| Adriana S Wiseman | Optometry | 5621 Grove St, Chevy Chase, MD 20815-3420 | |
| David B Sacks | Psychologist, Clinical | 5480 Wisconsin Ave, Suite 229, Chevy Chase, MD 20815-3500 | |
| Joan E Rabinor | Clinical Social Worker | 5480 Wisconsin Ave, Suite 227, Chevy Chase, MD 20815-3500 | |
| Kathleen Kenyon | Clinical Social Worker | 5480 Wisconsin Ave, Suite 227, Chevy Chase, MD 20815-3500 | |
| Rene Laje | Clinical Social Worker | 5480 Wisconsin Ave, 223 Ctr for Caregivers, Chevy Chase, MD 20815-3503 | |
| Mary Ann Fitzgerald | Clinical Social Worker | 5480 Wisconsin Ave, Suite 225, Chevy Chase, MD 20815-3503 | |
| Judith L Polk | Clinical Social Worker | 5480 Wisconsin Ave, Suite 421, Chevy Chase, MD 20815-3506 | |
| Linda G Kanefield | Clinical Psychologist | 5480 Wisconsin Ave, Chevy Chase, MD 20815-3508 | |
| Find all physicians in zip 20815 | |||
| City | CHEVY CHASE |
| Zip Code | 20815 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CHEVY CHASE + EMERGENCY MEDICINE |
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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.