Melanie P Slack (NPI# 1932429602, PAC ID# 2062655319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1932429602 |
| PAC ID by PECOS | 2062655319 |
| Professional Enrollment ID | I20160318000610 |
| Full Name | Melanie P Slack |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
12 Medstar Blvd Bel Air MD 21015-1798 |
| Phone Number | 4108778088 |
| Gender | F |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12 Medstar Blvd, Bel Air, MD 21015-1798 | 4108778088 | MEDSTAR MEDICAL GROUP II LLC |
| 1406 Crain S Hwy 106, Glen Burnie, MD 21061-4086 | 4107686440 | 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 |
12 MEDSTAR BLVD |
| City | BEL AIR |
| State | MD |
| Zip | 21015-1798 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry R Boucher | Orthopedic Surgery | Medstar Medical Group II LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Nicole L Kirk | Physician Assistant | Medstar Urgent Care LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Mary Beth K Henry | Physician Assistant | Medstar Urgent Care LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Suryamol A Chacko | Nurse Practitioner | Medstar Urgent Care LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Abhijit S Bhatia | Gastroenterology | Medstar Medical Group II LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Maureen C Sullivan | Family Medicine | Medstar Medical Group II LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Jason Stein | Orthopedic Surgery | Medstar Medical Group II LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Linda A Pistone | Physician Assistant | Medstar Urgent Care LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Michael A Jacobs | Orthopedic Surgery | Medstar Medical Group II LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| David A Cohen | Orthopedic Surgery | Medstar Medical Group II LLC | 12 Medstar Blvd, Bel Air, MD 21015-1798 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Maria Grillo | Optometry | 2511 Cool Spring Rd, Bel Air, MD 21015-1305 | |
| Brian Edward Evans | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| John Taylor | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Julie Anna Shahan | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Bryan M Dye | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Megan Nicole Osanitsch | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Stacey L Schorr | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Jennifer H Patrick | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Mariah L Buffington | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Meghann Kolibas | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Find all physicians in zip 21015 | |||
| City | BEL AIR |
| Zip Code | 21015 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BEL AIR + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Melanie P Slack.
| 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.