Immaculata M Ulu (NPI# 1740298579, PAC ID# 2860491834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740298579 |
| PAC ID by PECOS | 2860491834 |
| Professional Enrollment ID | I20061220000556 |
| Full Name | Immaculata M Ulu |
| Organization Legal Name | AXIS HEALTHCARE GROUP |
| Address |
20945 Great Mills Rd Suite 203 Lexington Pk MD 20653-5302 |
| Phone Number | 3013632575 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254409550 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7503 Surratts Rd, Clinton, MD 20735-3358 | 2023604787 | AXIS HEALTHCARE GROUP |
| 10400 Connecticut Ave, Suite 500, Kensington, MD 20895-3944 | 2023604787 | AXIS HEALTHCARE GROUP |
| 20945 Great Mills Rd, Suite 203, Lexington Pk, MD 20653-5302 | 3013632575 | AXIS HEALTHCARE GROUP |
| 4404 Queensbury Rd, Suite 210, Riverdale Park, MD 20737-1068 | ||
| 5901 Macarthur Boulevard Nw, Grand Oaks Assisted Living Fac Jhu Psychiatry, Washington, DC 20016-2514 | 2023493424 | JOHNS HOPKINS UNIVERSITY |
| Organization Legal Name | AXIS HEALTHCARE GROUP |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary G Walter | Nurse Practitioner | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| John M Mcgraw | Psychiatry | Axis Healthcare Group | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Elizabeth H Deoreo | Psychiatry | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Brian J Masterson | Internal Medicine | Axis Healthcare Group | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Dida K Ganjoo | Psychiatry | Axis Healthcare Group | 1310 Southern Ave Se, Washington, DC 20032-4623 |
| Shanique T Cartwright | Psychiatry | Axis Healthcare Group | 1310 Southern Ave Se, Washington, DC 20032-4623 |
| Waritta K Howell | Physician Assistant | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Khaled A Khalafallah | Psychiatry | Axis Healthcare Group | 10400 Connecticut Ave, Suite 500, Kensington, MD 20895-3944 |
| Surendra Kandel | Psychiatry | Axis Healthcare Group | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Richard M Chvotkin | Clinical Social Worker | Axis Healthcare Group | 10400 Connecticut Ave, Suite 500, Kensington, MD 20895-3944 |
| Street Address |
20945 GREAT MILLS RD SUITE 203 |
| City | LEXINGTON PK |
| State | MD |
| Zip | 20653-5302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Wozniak | General Surgery | 21412 Great Mills Rd, Lexington Park, MD 20653-1203 | |
| Megan N Green | Chiropractic | Grimsley Chiropractic Services, P.C. | 22780 Three Notch Rd, Lexington Park, MD 20653-1538 |
| Gary M Grimsley | Chiropractic | Grimsley Chiropractic Services, P.C. | 22780 Three Notch Rd, Lexington Park, MD 20653-1538 |
| Jacob D Green | Chiropractic | Grimsley Chiropractic Services, P.C. | 22780 Three Notch Rd, Lexington Park, MD 20653-1538 |
| Charles P Hester | Chiropractic | Grimsley Chiropractic Services, P.C. | 22780 Three Notch Rd, Lexington Park, MD 20653-1538 |
| Jessica Jolly | Clinical Social Worker | Walden Sierra Corporation | 21770 F D R Blvd, Lexington Park, MD 20653-1558 |
| Kori Summers | Clinical Social Worker | Walden Sierra Corporation | 21770 F D R Blvd, Lexington Park, MD 20653-1558 |
| Clara E Musser | Clinical Social Worker | Walden Sierra Corporation | 21770 F D R Blvd, Lexington Park, MD 20653-1558 |
| Gabrielle Bollino | Clinical Social Worker | Walden Sierra Corporation | 21770 F D R Blvd, Lexington Park, MD 20653-1558 |
| Andrea Russell | Clinical Social Worker | Walden Sierra Corporation | 21770 F D R Blvd, Lexington Park, MD 20653-1558 |
| Find all physicians in zip 20653 | |||
| City | LEXINGTON PK |
| Zip Code | 20653 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEXINGTON PK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Immaculata M Ulu.
| 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.