Jessica Marie Proctor (NPI# 1932768108, PAC ID# 1052642212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932768108 |
| PAC ID by PECOS | 1052642212 |
| Professional Enrollment ID | I20191021000098 |
| Full Name | Jessica Marie Proctor |
| Organization Legal Name | ADVANCED PAIN MANAGEMENT,LLC |
| Address |
11637 Terrace Dr Suite 101 Waldorf MD 20602-3707 |
| Phone Number | 2406293952 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335406016 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4496 | 2406293939 | ADVANCED PAIN MANAGEMENT,LLC |
| 11637 Terrace Dr, Suite 101, Waldorf, MD 20602-3707 | 2406293952 | ADVANCED PAIN MANAGEMENT,LLC |
| Organization Legal Name | ADVANCED PAIN MANAGEMENT,LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Denise Hines | Physician Assistant | Advanced Pain Management,llc | 11637 Terrace Dr, Suite 101, Waldorf, MD 20602-3707 |
| Ojedapo A Ojeyemi | Orthopedic Surgery | Advanced Pain Management,llc | 12800 Middlebrook Rd, Suite 114, Germantown, MD 20874-5286 |
| Shirley Coffie | Nurse Practitioner | Advanced Pain Management,llc | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4496 |
| Kara Kelly | Nurse Practitioner | Advanced Pain Management,llc | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4496 |
| Matthew S Roh | Physical Medicine and Rehabilitation | Advanced Pain Management,llc | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4496 |
| Jodi Lynn Hall | Nurse Practitioner | Advanced Pain Management,llc | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4496 |
| Street Address |
11637 TERRACE DR SUITE 101 |
| City | WALDORF |
| State | MD |
| Zip | 20602-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather L Powell | Physician Assistant | Michael K Greenberg,md,pc | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602-3707 |
| Carla Denise Hines | Physician Assistant | Advanced Pain Management,llc | 11637 Terrace Dr, Suite 101, Waldorf, MD 20602-3707 |
| Roche M Watson | Nurse Practitioner | Michael K Greenberg,md,pc | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602-3707 |
| Michael K Greenberg | Neurology | Michael K Greenberg,md,pc | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602-3707 |
| Thomas M Kline | Chiropractic | 11637 Terrace Dr, Suite 101, Waldorf, MD 20602-3707 |
| 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 |
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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.