Elron J Wallace (NPI# 1124122809, PAC ID# 3577665769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1124122809 |
PAC ID by PECOS | 3577665769 |
Professional Enrollment ID | I20070219000222 |
Full Name | Elron J Wallace |
Organization Legal Name | FIRST COLONIES ANESTHESIA ASSOCIATES, LLC |
Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
Phone Number | 4107874000 |
Gender | M |
Credential | MD |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | ANESTHESIOLOGY |
Group Practice PAC ID | 8426039744 |
Number of Group Practice Members | 223 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
301 Hospital Dr, Glen Burnie, MD 21061-5803 | 4107874000 | FIRST COLONIES ANESTHESIA ASSOCIATES, LLC |
Organization Legal Name | FIRST COLONIES ANESTHESIA ASSOCIATES, LLC |
Physicians | 204 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany Parker | Certified Registered Nurse Anesthetist (crna) | First Colonies Anesthesia Associates, LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Oluwafunke O Ives | Anesthesiology | First Colonies Anesthesia Associates, LLC | 46 W Gude Dr, Rockville, MD 20850-1150 |
Colleen M Ceremuga | Anesthesiology | First Colonies Anesthesia Associates, LLC | 6500 Rock Spring Dr, Suite 100, Bethesda, MD 20817-1105 |
Babak Roboubi | Anesthesiology | First Colonies Anesthesia Associates, LLC | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
Laron Neal Johnson | Anesthesiology | First Colonies Anesthesia Associates, LLC | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4360 |
Mahmud R Elbackush | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
David Hwang | Anesthesiology | First Colonies Anesthesia Associates, LLC | 2 Choke Cherry Rd, Suite 125, Rockville, MD 20850-4066 |
Lauren J Deloach | Anesthesiology | First Colonies Anesthesia Associates, LLC | 620 Boulton St, Suite 200, Bel Air, MD 21014-4255 |
Cynthia E Kenol | Anesthesiology | First Colonies Anesthesia Associates, LLC | 1901 Lockhouse Dr, Point of Rocks, MD 21777-2104 |
Charles Rizzuto | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
Street Address |
301 HOSPITAL DR |
City | GLEN BURNIE |
State | MD |
Zip | 21061-5803 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany Parker | Certified Registered Nurse Anesthetist (crna) | First Colonies Anesthesia Associates, LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Sridevi Praveen | Nurse Practitioner | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Marshall Benjamin | Vascular Surgery | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Harvinder Singh | Hematology/oncology | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Rachel Mallalieu | Emergency Medicine | Baltimore Washington Emergency Physicians, Inc. | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Wondaferew A Berhie | Internal Medicine | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Sharon A Campbell | Nurse Practitioner | Mdics At Bwmc LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Katherine A Lambert | Physician Assistant | Parkway Medical Association LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Madhu Sreekanth Jasti | Neurology | University of Maryland Community Medical Group Inc | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Babajide Oluleye | Anesthesiology | First Colonies Anesthesia Associates, LLC | 301 Hospital Dr, Glen Burnie, MD 21061-5803 |
Find all physicians in the same address |
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 | ANESTHESIOLOGY |
City + Specialty | GLEN BURNIE + ANESTHESIOLOGY |
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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.