James Petit (NPI# 1023277951, PAC ID# 4688720758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023277951 |
| PAC ID by PECOS | 4688720758 |
| Professional Enrollment ID | I20090915000785 |
| Full Name | James Petit |
| Organization Legal Name | GPS PHYSICIAN GROUP, PC |
| Address |
347 Ballenger Ctr Dr Frederick MD 21703-7095 |
| Phone Number | 3016335181 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739447400 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5000 Fairbanks Ave, Alexandria, VA 22311-1246 | 7037973844 | GPS PHYSICIAN GROUP, PC |
| 1801 Wentworth Rd, Baltimore, MD 21234-6128 | 4106615717 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| 347 Ballenger Ctr Dr, Frederick, MD 21703-7095 | 3016335181 | GPS PHYSICIAN GROUP, PC |
| 3227 Bel Pre Rd, Silver Spring, MD 20906-2423 | 7037517108 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Organization Legal Name | GPS PHYSICIAN GROUP, PC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manas Kaushik | Internal Medicine | Gps Physician Group, PC | 7232 German Hill Rd, Dundalk, MD 21222-1260 |
| Elizabeth Ann Brick | Nurse Practitioner | Gps Physician Group, PC | 1801 Wentworth Rd, Parkville, MD 21234-6128 |
| Danielle Farer | Nurse Practitioner | Gps Physician Group, PC | 1201 Rural Ave, Williamsport, PA 17701-1669 |
| Autumn R Painter | Nurse Practitioner | Gps Physician Group, PC | 7525 Carroll Ave, Takoma Park, MD 20912-5715 |
| Rachel Brittany Ambrose | Nurse Practitioner | Gps Physician Group, PC | 11 Dairy Ln, Fredericksburg, VA 22405-2663 |
| Colleen A Gross | Nurse Practitioner | Gps Physician Group, PC | 1775 Huntington Ln, Rockledge, FL 32955-3136 |
| Kayla Dubois | Nurse Practitioner | Gps Physician Group, PC | 1350 14th Ave Se, Decatur, AL 35601-4364 |
| Lori B Crisp | Nurse Practitioner | Gps Physician Group, PC | 136 Davis Ln, La Follette, TN 37766-3118 |
| James P Gallagher | Internal Medicine | Gps Physician Group, PC | 400 Groton Rd, Ayer, MA 01432-1171 |
| Steven C Chandler | Internal Medicine | Gps Physician Group, PC | 420 Dean Dr, Gardendale, AL 35071-2763 |
| Street Address |
347 BALLENGER CTR DR |
| City | FREDERICK |
| State | MD |
| Zip | 21703-7095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir A Rashidian | Chiropractic | 7196 Crestwood Blvd, Suite 100, Frederick, MD 21703-1845 | |
| Amr Hegazi | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Kanan H Hudhud | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Nouman Asif | Medical Oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Sadaf Taimur | Hematology/oncology | Maryland Oncology Hematology Pa | 7211 Bank Ct, Suite 150, Frederick, MD 21703-2807 |
| Sandra Bloom | Clinical Social Worker | Green Ridge Behavioral Health, LLC | 5216 Chairmans Ct, Suite 102, Frederick, MD 21703-2858 |
| Holly M Gross | Ophthalmology | Central Maryland Eye Associates PC | 5283 Corporate Dr, Suite 201, Frederick, MD 21703-2879 |
| Thu T Pham | Ophthalmology | Central Maryland Eye Associates PC | 5283 Corporate Dr, Suite 201, Frederick, MD 21703-2879 |
| Amanda Jean Lievendag | Physical Therapy | Red Canyon LLC | 7200 Bank Ct, Suite 110, Frederick, MD 21703-2886 |
| Greesh John | Anesthesiology | Pain and Spine Specialists of Maryland LLC | 7200 Bank Ct, Suite 120, Frederick, MD 21703-2886 |
| Find all physicians in zip 21703 | |||
| City | FREDERICK |
| Zip Code | 21703 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FREDERICK + INTERNAL 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.