Robert Timothy Pace (NPI# 1326030040, PAC ID# 2668598095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1326030040 |
PAC ID by PECOS | 2668598095 |
Professional Enrollment ID | I20100923000158 |
Full Name | Robert Timothy Pace |
Organization Legal Name | PRIVIA CARE CENTER LLC |
Address |
12070 Old Line Ctr Suite 302 Waldorf MD 20602-2567 |
Phone Number | 3018437667 |
Gender | M |
Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3274801139 |
Number of Group Practice Members | 133 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 | 2402151138 | PRIVIA CARE CENTER LLC |
11350 Pembrooke Sq, Suite 304, Waldorf, MD 20603-4809 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2567 | 3018437667 | PRIVIA CARE CENTER LLC |
Organization Legal Name | PRIVIA CARE CENTER LLC |
Physicians | 132 |
Name | Specialty | Organization | Address |
---|---|---|---|
Judy M Cao | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
Lindsay S Gonzalez | Physician Assistant | Privia Care Center LLC | 7202 Poplar St, Annandale, VA 22003-3025 |
Prashant Rohit Shukla | Internal Medicine | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
Ira L Berger | Internal Medicine | Privia Care Center LLC | 4910 Massachusetts Ave Nw, Suite 114 Grady Dc Office, Washington, DC 20016-4384 |
Karl A Spector | Internal Medicine | Privia Care Center LLC | 602 S Atwood Rd, Bel Air, MD 21014-4172 |
Benjamin Y Lee | Internal Medicine | Privia Care Center LLC | 669 Revolution St, Havre De Grace, MD 21078-3319 |
Adebowale Prest | Family Medicine | Privia Care Center LLC | 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 |
Stanley Wisniewski | Family Medicine | Privia Care Center LLC | 8191 Jennifer Ln, Suite 150, Owings, MD 20736-3195 |
Richard A Bernstein | Internal Medicine | Privia Care Center LLC | 301 Saint Paul St, Suite 409, Baltimore, MD 21202-2102 |
Kathleen W Stern | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
Street Address |
12070 OLD LINE CTR SUITE 302 |
City | WALDORF |
State | MD |
Zip | 20602-2567 |
Name | Specialty | Organization | Address |
---|---|---|---|
Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Basirmohmad F Kolia | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
Anna P Thottan | Endocrinology | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Vishal Mungal | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Anish S Nanavati | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Arnel Castrence | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Dawn S Christopher | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
Kiran D Mehta | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
Claude Oather Spears | Nurse Practitioner | Privia Care Center LLC | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2567 |
Find all physicians in the same address |
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 |
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 |
Seth A Weaver | 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 | FAMILY MEDICINE |
City + Specialty | WALDORF + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert Timothy Pace.
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.