Gwenneth O Cancino (NPI# 1487657227, PAC ID# 3072412188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487657227 |
| PAC ID by PECOS | 3072412188 |
| Professional Enrollment ID | I20101122000020 |
| Full Name | Gwenneth O Cancino |
| Address |
115 W Bel Air Ave Aberdeen MD 21001-3221 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210006 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 115 W Bel Air Ave, Aberdeen, MD 21001-3221 |
| Street Address |
115 W BEL AIR AVE |
| City | ABERDEEN |
| State | MD |
| Zip | 21001-3221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel M Sumilang | Pediatric Medicine | Prohealth Primary Care LLC | 115 W Bel Air Ave, Aberdeen, MD 21001-3221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Ochle | Nurse Practitioner | Pueblo Community Health Center Inc. | 1302 E, Pueblo, CO 21001 |
| Valerie Reed | Optometry | Myeyedr Optometry of Maryland LLC | 951 F Beards Hill Rd, Aberdeen, MD 21001-1734 |
| Robin L Vance Ishak | Optometry | Myeyedr Optometry of Maryland LLC | 951 F Beards Hill Rd, Aberdeen, MD 21001-1734 |
| Prashant Rohit Shukla | Internal Medicine | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Stephanie L Farmer | Nurse Practitioner | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Kortni P Sorbello | Nurse Practitioner | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Sean M Curtin | Sports Medicine | Medstar Medical Group II LLC | 998 Hospitality Way, 102 Medstar Union Memorial Orthopaedics and Sports Med, Aberdeen, MD 21001-1757 |
| Karen V Johnson | Nurse Practitioner | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Barbara J Locke | Nurse Practitioner | Bayside Internal Medicine LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Matthew A Speicher | Ophthalmology | The Retina Care Center | 998 Hospitality Way, Suite 201, Aberdeen, MD 21001-1760 |
| Find all physicians in zip 21001 | |||
| City | ABERDEEN |
| Zip Code | 21001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ABERDEEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gwenneth O Cancino.
| 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.