Donald G Heacock (NPI# 1023022324, PAC ID# 4688560220) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1023022324 |
| PAC ID by PECOS | 4688560220 |
| Professional Enrollment ID | I20060125000300 |
| Full Name | Donald G Heacock |
| Organization Legal Name | GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC |
| Address |
3708 Mountain Rd Suite D Pasadena MD 21122-2025 |
| Phone Number | 4102554833 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1982 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0042102592 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1600 Crain Hwy S, Suite 302, Glen Burnie, MD 21061-6445 | 4107681213 | MARYLAND SPORTSCARE AND REHAB LLC |
| 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 | 4102554833 | GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC |
| Organization Legal Name | GLEN BURNIE PHYSICAL THERAPY AND SPORTSCARE LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Leimkuhler | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Nneka C Oligbo | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 14700 Baltimore Ave, Suite 106, Laurel, MD 20707-4878 |
| Amanda Detrich | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1460 Ritchie Hwy, Suite 113, Arnold, MD 21012-2704 |
| Saera H Brooks | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 10722 Baltimore Ave, Beltsville, MD 20705-2138 |
| Taylore B Libby | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 1013 Bay Ridge Ave, Suite 410, Annapolis, MD 21403-3031 |
| Jordan L Natale | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 31 Magothy Beach Rd, Suite 105, Pasadena, MD 21122-4423 |
| Kuang Y Hsieh | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 7711 Quarterfield Rd, Suite C2, Glen Burnie, MD 21061-4591 |
| Sandra L Woods | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 8890 Centre Park Dr, Suite 400, Columbia, MD 21045-2170 |
| Arthur E Scofield Iv | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 8890 Centre Park Dr, Suite 400, Columbia, MD 21045-2170 |
| Jami N Jackson | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 8890 Centre Park Dr, Suite 400, Columbia, MD 21045-2170 |
| Street Address |
3708 MOUNTAIN RD SUITE D |
| City | PASADENA |
| State | MD |
| Zip | 21122-2025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Leimkuhler | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Samantha Shaver | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Aneyza Tarhata Abdulsani | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Kyle Goodwin | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Whitney Ward | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 3708 Mountain Rd, Suite D, Pasadena, MD 21122-2025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew M Castagna | Physician Assistant | Wisecare LLC | Magothy Beach Plz, Suite 33, Pasadena, MD 21122 |
| Cynthia R Towle-krewson | Physician Assistant | Wisecare LLC | Magothy Beach Plz, Suite 33, Pasadena, MD 21122 |
| David J Levine | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| Jeffrey E Atkinson | Internal Medicine | 8028 Ritchie Hwy 108, Pasadena, MD 21122-1020 | |
| Jenny Nguyen | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| Robin Mattheiss | Certified Registered Nurse Anesthetist (crna) | Zinder Anesthesia, LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| Ira J Gottlieb | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| Mark Allen Roemer | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| David Md Fishbein | Gastroenterology | 8028 Ritchie Hwy, Suite 108, Pasadena, MD 21122-1020 | |
| Jennifer L Bell | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| Find all physicians in zip 21122 | |||
| City | PASADENA |
| Zip Code | 21122 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PASADENA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Donald G Heacock.
| 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.