Adebowale Prest (NPI# 1326030438, PAC ID# 4284669508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326030438 |
| PAC ID by PECOS | 4284669508 |
| Professional Enrollment ID | I20051005000405 |
| Full Name | Adebowale Prest |
| Organization Legal Name | PRIVIA CARE CENTER LLC |
| Address |
321 Dorchester Ave Suite 1 Cambridge MD 21613-2425 |
| Phone Number | 4102281325 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274801139 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210037 | UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON |
| Address | Phone | Organization |
|---|---|---|
| 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 | 4102281325 | PRIVIA CARE CENTER LLC |
| 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 | PRIVIA MEDICAL GROUP,LLC | |
| 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 | 2402151138 | PRIVIA CARE CENTER LLC |
| Organization Legal Name | PRIVIA CARE CENTER LLC |
| Physicians | 132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy M Cao | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Lindsay S Gonzalez | Physician Assistant | Privia Care Center LLC | 7202 Poplar St, Annandale, VA 22003-3025 |
| Prashant Rohit Shukla | Internal Medicine | Privia Care Center LLC | 998 Hospitality Way, Suite 102, Aberdeen, MD 21001-1757 |
| Ira L Berger | Internal Medicine | Privia Care Center LLC | 4910 Massachusetts Ave Nw, Suite 114 Grady Dc Office, Washington, DC 20016-4384 |
| Karl A Spector | Internal Medicine | Privia Care Center LLC | 602 S Atwood Rd, Bel Air, MD 21014-4172 |
| Benjamin Y Lee | Internal Medicine | Privia Care Center LLC | 669 Revolution St, Havre De Grace, MD 21078-3319 |
| Stanley Wisniewski | Family Medicine | Privia Care Center LLC | 8191 Jennifer Ln, Suite 150, Owings, MD 20736-3195 |
| Richard A Bernstein | Internal Medicine | Privia Care Center LLC | 301 Saint Paul St, Suite 409, Baltimore, MD 21202-2102 |
| Kathleen W Stern | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Virginia C Wiley | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Street Address |
321 DORCHESTER AVE SUITE 1 |
| City | CAMBRIDGE |
| State | MD |
| Zip | 21613-2425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelcy Wiley | Nurse Practitioner | Privia Care Center LLC | 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 |
| Eugene Newmier | Family Medicine | Privia Care Center LLC | 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 |
| Ian Griffith | Physical Therapy | Cambridge Physical Therapy and Sports Care LLC | 321 Dorchester Ave, Suite B, Cambridge, MD 21613-2425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen A Jacobs | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Julia R Strong | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Anna M Pokrywka | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Paula Turner | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Catherine Proa | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Sherri J Hitchcock | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Pamela A Schulte | Clinical Social Worker | 403 Race St, Cambridge, MD 21613-1835 | |
| Paul D Brant | Optometry | Easton Optical, LLC | 401 Race St, Cambridge, MD 21613-1835 |
| Jasmine Nicole Jordan | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Douglas J Hamsher | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Find all physicians in zip 21613 | |||
| City | CAMBRIDGE |
| Zip Code | 21613 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMBRIDGE + FAMILY MEDICINE |
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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.