Doreen Blake (NPI# 1043209331, PAC ID# 1456301951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043209331 |
| PAC ID by PECOS | 1456301951 |
| Professional Enrollment ID | I20110523000015 |
| Full Name | Doreen Blake |
| Organization Legal Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Address |
1450 Mercantile Ln Suite 111 Largo MD 20774-5382 |
| Phone Number | 3019257610 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860447315 |
| Number of Group Practice Members | 283 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5382 | 3019257610 | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Organization Legal Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Physicians | 301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Elizabeth Macdonald | Nurse Practitioner | Anne Arundel Physician Group LLC | 555 Cynwood Dr, Easton, MD 21601-3801 |
| Christine Ajjan Laky | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 185 Harry S Truman Pkwy, Suite 120, Annapolis, MD 21401-7580 |
| Kerry A Ellis | Clinical Social Worker | Anne Arundel Physician Group LLC | 2635 Riva Rd, Suite 108, Annapolis, MD 21401-7430 |
| Katherine Trulove Ellis | Certified Nurse Midwife (cnm) | Anne Arundel Physician Group LLC | 401 Purdy St, Suite 102, Easton, MD 21601-4060 |
| Kamishia L Thomas | Nurse Practitioner | Anne Arundel Physician Group LLC | 2000 Medical Pkwy, Suite 510, Annapolis, MD 21401-3742 |
| Sadia Shafi | Cardiovascular Disease (cardiology) | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Annapolis, MD 21401-3081 |
| Rebecca E Duncan | Family Medicine | Anne Arundel Physician Group LLC | 1630 Main St, Chester, MD 21619-2791 |
| Julie A Bache | Certified Nurse Midwife (cnm) | Anne Arundel Physician Group LLC | 3169 Braverton St, Suite 201, Edgewater, MD 21037-2690 |
| Curtis Matthew Foy | Family Medicine | Anne Arundel Physician Group LLC | 28438 Marlboro Ave, Easton, MD 21601-2732 |
| Katherine E Webb | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 521 Washington Ave, Chester River Ob/gyn, Chestertown, MD 21620-1217 |
| Street Address |
1450 MERCANTILE LN SUITE 111 |
| City | LARGO |
| State | MD |
| Zip | 20774-5382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ademuyiwa A Adetunji | Podiatry | 1450 Mercantile Ln, Suite 151, Upper Marlboro, MD 20774-5386 | |
| Virginia Kay Mirenzi | Registered Dietitian Or Nutrition Professional | Anne Arundel Physician Group LLC | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5382 |
| Meetu Agrawal | Internal Medicine | Anne Arundel Physician Group LLC | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5382 |
| Linda F Sloan | Internal Medicine | Anne Arundel Physician Group LLC | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5382 |
| Susan E Jenkins | Obstetrics/gynecology | 1450 Mercantile Ln, Suite 117, Largo, MD 20774-5382 | |
| Tanya Johnson | Registered Dietitian Or Nutrition Professional | Anne Arundel Physician Group LLC | 1450 Mercantile Ln, Largo, MD 20774-5382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeolu Tolulope Kehinde | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
| Kartiki Sanjay Suradkar | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
| Ruby Mae Jones | Psychologist, Clinical | 11111 Lochton St, Upper Marlboro, MD 20774-1529 | |
| Adora N Otiji | Family Medicine | 20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | |
| Victor C Onyejiaka | Internal Medicine | 600 Largo Rd, Upper Marlboro, MD 20774-2122 | |
| Jene C Gould | Clinical Social Worker | 1401 Mercantile Ln, Suite 485, Largo, MD 20774-4301 | |
| Renee Michelle Riley | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| William Chestnut | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Paul A Heath | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Kenya N Brent | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Find all physicians in zip 20774 | |||
| City | LARGO |
| Zip Code | 20774 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LARGO + INTERNAL 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.