Amanda Jean Lievendag (NPI# 1790343812, PAC ID# 4880920313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790343812 |
| PAC ID by PECOS | 4880920313 |
| Professional Enrollment ID | I20190722002999 |
| Full Name | Amanda Jean Lievendag |
| Organization Legal Name | RED CANYON LLC |
| Address |
7200 Bank Ct Suite 110 Frederick MD 21703-2886 |
| Phone Number | 2406511335 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1052618352 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7200 Bank Ct, Suite 110, Frederick, MD 21703-2886 | 2406511335 | RED CANYON LLC |
| Organization Legal Name | RED CANYON LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl B Krantz | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Rachel Colleen Jespersen | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Max Mccloskey | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Robert Scott Randall | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Matthew Thomas Rosewag | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Gillian Charlene Diestel | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Emilie Stewart | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Brian Ira Weisman | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Branden J Cohen | Physical Therapy | Red Canyon LLC | 801 Toll House Ave, Suite H3, Frederick, MD 21701-6117 |
| Street Address |
7200 BANK CT SUITE 110 |
| City | FREDERICK |
| State | MD |
| Zip | 21703-2886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greesh John | Anesthesiology | Pain and Spine Specialists of Maryland LLC | 7200 Bank Ct, Suite 120, Frederick, MD 21703-2886 |
| 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 |
| Anitha Nallu | Nephrology | Frederick Kidney Care Associates LLC. | 5205 Chairmans Ct, Suite 100, Frederick, MD 21703-2915 |
| Rohan R Rengen | Nephrology | Frederick Kidney Care Associates LLC. | 5205 Chairmans Ct, Suite 100, Frederick, MD 21703-2915 |
| Find all physicians in zip 21703 | |||
| City | FREDERICK |
| Zip Code | 21703 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FREDERICK + PHYSICAL THERAPY |
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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.