Melissa D Magassouba (NPI# 1104281484, PAC ID# 3173816956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104281484 |
| PAC ID by PECOS | 3173816956 |
| Professional Enrollment ID | I20160802000206 |
| Full Name | Melissa D Magassouba |
| Address |
2970 Dede Rd Finksburg MD 21048-2340 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210002 | UNIVERSITY OF MARYLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22 S Green St, Baltimore, MD 21201-1544 | 4103286704 | SHOCK TRAUMA ASSOCIATES PA |
| 2970 Dede Rd, Finksburg, MD 21048-2340 |
| Street Address |
2970 DEDE RD |
| City | FINKSBURG |
| State | MD |
| Zip | 21048-2340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip H Konits | Hematology/oncology | 2059 Baltimore Blvd, Finksburg, MD 21048-1301 | |
| Angel Gouge | Physical Therapy | Felice Physical Therapy | 3190 Lawndale Rd, Finksburg, MD 21048-1565 |
| Abraham Mathew | Family Medicine | 3125 Baltimore Blvd, Finksburg, MD 21048-2307 |
| City | FINKSBURG |
| Zip Code | 21048 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FINKSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa D Magassouba.
| 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.