Jamie Elizabeth Matlock (NPI# 1578080719, PAC ID# 2961761903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578080719 |
| PAC ID by PECOS | 2961761903 |
| Professional Enrollment ID | I20180119000063 |
| Full Name | Jamie Elizabeth Matlock |
| Organization Legal Name | ELITE ORTHOPAEDIC AND MUSCULOSKELETAL CENTER, LLC |
| Address |
1413 Madison Park Dr Fl 2 Glen Burnie MD 21061-5613 |
| Phone Number | 4106913571 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7315123890 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1413 Madison Park Dr, Fl 2, Glen Burnie, MD 21061-5613 | 4106913571 | ELITE ORTHOPAEDIC AND MUSCULOSKELETAL CENTER, LLC |
| Organization Legal Name | ELITE ORTHOPAEDIC AND MUSCULOSKELETAL CENTER, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir R Moinfar | Orthopedic Surgery | Elite Orthopaedic and Musculoskeletal Center, LLC | 1413 Madison Park Dr, Fl 2, Glen Burnie, MD 21061-5613 |
| Ali D Deyhim | Podiatry | Elite Orthopaedic and Musculoskeletal Center, LLC | 1413 Madison Park Dr, Fl 2, Glen Burnie, MD 21061-5613 |
| Street Address |
1413 MADISON PARK DR FL 2 |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-5613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir R Moinfar | Orthopedic Surgery | Elite Orthopaedic and Musculoskeletal Center, LLC | 1413 Madison Park Dr, Fl 2, Glen Burnie, MD 21061-5613 |
| Ali D Deyhim | Podiatry | Elite Orthopaedic and Musculoskeletal Center, LLC | 1413 Madison Park Dr, Fl 2, Glen Burnie, MD 21061-5613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLEN BURNIE + PHYSICIAN ASSISTANT |
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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.