Crystal L Smalls Gonzalez (NPI# 1689624843, PAC ID# 4183695026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1689624843 |
PAC ID by PECOS | 4183695026 |
Professional Enrollment ID | I20040804000185 |
Full Name | Crystal L Smalls Gonzalez |
Organization Legal Name | IMELDA MIRANDA, M.D. |
Address |
7611 S Osborne Suite 106 Uppr Marlboro MD 20772-4200 |
Phone Number | 3019528401 |
Gender | F |
Credential | PA |
Graduation Year | 1990 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 3274544960 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7611 S Osborne, Suite 106, Uppr Marlboro, MD 20772-4200 | 3019528401 | IMELDA MIRANDA, M.D. |
7611 S Osborne, Uppr Marlboro, MD 20772-4200 | 3019528401 | IMELDA MIRANDA, M.D. |
Organization Legal Name | IMELDA MIRANDA, M.D. |
Physicians | 1 |
Street Address |
7611 S OSBORNE SUITE 106 |
City | UPPR MARLBORO |
State | MD |
Zip | 20772-4200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Imelda R Miranda | Internal Medicine | 7611 S Osborne, Suite 106, Uppr Marlboro, MD 20772-4200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yetunde Aderibigbe Sannoh | Internal Medicine | 9440 Marlboro Pike, Upper Marlboro, MD 20772-2032 | |
Alain Champaloux | Family Medicine | 14314 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | |
Joshua Nosa Okundaye | Clinical Social Worker | 14526 Church St, Upper Marlboro, MD 20772-3040 | |
Pamela E Marcus | Certified Clinical Nurse Specialist (cns) | 14460 Old Mill Rd, Suite 201, Upper Marlboro, MD 20772-3092 | |
Janet D Crockett | Clinical Social Worker | 3908 Saddlebrook Ct, Upper Marlboro, MD 20772-3320 | |
Rafik A Tarfa | Physical Therapy | 9500 Pennsylvania Ave, Suite 6, Upper Marlboro, MD 20772-3658 | |
Sherri Crable | Physical Therapy | Sports Pro Physical Therapy LLC | 9440 Pennsylvania Ave, Suite 215, Upper Marlboro, MD 20772-3659 |
Sisom Osia | Internal Medicine | 9628 Marlboro Pike, Upper Marlboro, MD 20772-3670 | |
Martin Giller | Psychiatry | 9654 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | |
Ben P Binghay | Internal Medicine | 9654 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | |
Find all physicians in zip 20772 |
City | UPPR MARLBORO |
Zip Code | 20772 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | UPPR MARLBORO + 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.