Kelly Petz (NPI# 1033200027, PAC ID# 1456313592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1033200027 |
| PAC ID by PECOS | 1456313592 |
| Professional Enrollment ID | I20080410000438 |
| Full Name | Kelly Petz |
| Organization Legal Name | MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC |
| Address |
25500 Point Lookout Rd Leonardtown MD 20650-2015 |
| Phone Number | 3014758971 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1998 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1052678034 |
| Number of Group Practice Members | 393 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| 210002 | UNIVERSITY OF MARYLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22 S Green St, Baltimore, MD 21201-1544 | 4103286704 | UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION |
| 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 3014758971 | MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC |
| 5255 Loughboro Road Nw, Sibley Memorial Hospital, Washington, DC 20016-2633 | 2025374563 | SURGICAL ANESTHESIA ASSOCIATES, PLLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC |
| Physicians | 391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Akber Turabi | Pain Management | Medstar Medical Group Anesthesiology LLC | 201 E University Pkwy, Mmg Anesthesiology At Mumh, Baltimore, MD 21218-2829 |
| Michael A King | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 6475 New Hampshire Ave, 150 Capital Endoscopy Surg Ctr, Hyattsville, MD 20783-3273 |
| Barbara W Dawson | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Ore-oluwa Lima Da Silva | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017 |
| Fay A Horng | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017 |
| Alexandra Megan Fine | Anesthesiology Assistant | Medstar Medical Group Anesthesiology LLC | 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017 |
| Thomas Jay Finkelston | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Dana E Kirby | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 1133 21st St Nw, Mmg Anes Lafayette, Washington, DC 20036-3390 |
| Shelby Fullen | Anesthesiology Assistant | Medstar Medical Group Anesthesiology LLC | 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017 |
| Domenic S Derobertis | Anesthesiology Assistant | Medstar Medical Group Anesthesiology LLC | 3800 Reservoir Rd Nw, Mmg Anesthesiology At Mguh, Washington, DC 20007-2113 |
| Street Address |
25500 POINT LOOKOUT RD |
| City | LEONARDTOWN |
| State | MD |
| Zip | 20650-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Bruce R Gibson | Critical Care (intensivists) | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Thomas Jay Finkelston | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| William M Mahaffey | General Surgery | Healogics Specialty Physicians of Maryland LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Mary G Walter | Nurse Practitioner | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Arie Neymotin | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Clyde W Pray | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Elizabeth H Deoreo | Psychiatry | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Ikenna Nwachukwu | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Marie Miller | Physician Assistant | Verghese and Ling M.d.p.a. | 26840 Point Lookout Rd, Leonardtown, MD 20650 |
| Sabrina A Sepulveda | Nurse Practitioner | 41630 Couthouse Dr, Leonardtown, MD 20650 | |
| Rhonda Cox | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Danielle Luray Guy | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Bonnie L Torres | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Jeremy Thurman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Lauren Snyder | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Aaron Bauer | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Richard S Hageman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Laura P Ward | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Find all physicians in zip 20650 | |||
| City | LEONARDTOWN |
| Zip Code | 20650 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LEONARDTOWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kelly Petz.
| 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.