Adetimbo Adediran (NPI# 1679922298, PAC ID# 4082902937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679922298 |
| PAC ID by PECOS | 4082902937 |
| Professional Enrollment ID | I20161011000053 |
| Full Name | Adetimbo Adediran |
| Organization Legal Name | LEGACY CARE LLC |
| Address |
1840 Reisterstown Rd Pikesville MD 21208-1305 |
| Phone Number | 7572220300 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042458200 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 | 3018315850 | PSYCHOGERIATRIC SERVICES LLC |
| 1840 Reisterstown Rd, Pikesville, MD 21208-1305 | 7572220300 | LEGACY CARE LLC |
| 1015 15th St Nw, Suite 1000, Washington, DC 20005-2621 | 7572220300 | LEGACY CARE LLC |
| Organization Legal Name | LEGACY CARE LLC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen L Cruz | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Leroy Jackson | Endocrinology | Legacy Care LLC | 2900 Sabre St, Suite 300, Virginia Beach, VA 23452-7380 |
| Harsukh Panchabhai Patolia | Internal Medicine | Legacy Care LLC | 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 |
| Tonja L Gadsden | Internal Medicine | Legacy Care LLC | 1015 15th St Nw, Suite 1000, Washington, DC 20005-2621 |
| Sidney Nelson Iii | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Ralph D Hellams Jr. | Family Medicine | Legacy Care LLC | 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 |
| Tracy T Germaine | Nurse Practitioner | Legacy Care LLC | 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 |
| Judith L Albert | Nurse Practitioner | Legacy Care LLC | 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 |
| Elizabeth Peters | Nurse Practitioner | Legacy Care LLC | 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 |
| Philip C Boulanger | General Practice | Legacy Care LLC | 2901 S Lynnhaven Rd, Suite 450, Virginia Beach, VA 23452-8524 |
| Street Address |
1840 REISTERSTOWN RD |
| City | PIKESVILLE |
| State | MD |
| Zip | 21208-1305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen L Cruz | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Sidney Nelson Iii | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Margianna Stotelmyer Toms | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Celian Valero Colon | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Margaret A Austin | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas F Krajewski | Psychiatry | 8909 Reisterstown Raod, Arden Courts Pikesville, Pikesville, MD 21208-1072 | |
| Michelle R Mccarty | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Candice L Diamond-krupitsky | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Laura M Coffman | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Rafael Perez-mera | Internal Medicine | Charm City Medical Associates Pa | 1777 Reisterstown Rd, Suite 108, Baltimore, MD 21208-1317 |
| Marcia C Ribeiro | Neurology | 1777 Reisterstown Rd 104, Baltimore, MD 21208-1317 | |
| Barbara K Honig | Dermatology | 1777 Reisterstown Rd, Suite 108, Pikesville, MD 21208-1317 | |
| Emily J Taylor | Qualified Audiologist | 1777 Reisterstown Rd, 118a, Baltimore, MD 21208-1317 | |
| Naeem Gauhar | Internal Medicine | Charm City Medical Associates Pa | 1777 Reisterstown Rd, Suite 108, Baltimore, MD 21208-1317 |
| Wendy A Teie | Audiologist | Taylor Listening Center LLC | 1777 Reisterstown Rd, 118a, Baltimore, MD 21208-1317 |
| Find all physicians in zip 21208 | |||
| City | PIKESVILLE |
| Zip Code | 21208 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PIKESVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Adetimbo Adediran.
| 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.