Melissa A Shaull (NPI# 1174676969, PAC ID# 4981706546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174676969 |
| PAC ID by PECOS | 4981706546 |
| Professional Enrollment ID | I20070228000262 |
| Full Name | Melissa A Shaull |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
269 Peninsula Farm Rd Suite F Arnold MD 21012-1013 |
| Phone Number | 4105189808 |
| Gender | F |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 133 Defense Hwy, Annapolis, MD 21401-7015 | PRIVIA MEDICAL GROUP,LLC | |
| 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 4105189808 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
269 PENINSULA FARM RD SUITE F |
| City | ARNOLD |
| State | MD |
| Zip | 21012-1013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramona G Seidel | Family Medicine | Privia Medical Group,llc | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 |
| Elizabeth Posoli | Physician Assistant | Privia Medical Group,llc | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk A Duncan | Clinical Psychologist | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Lauren B Bond | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Mary Ann Gardiner | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Faith H Howarth | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| James G Chaconas | Family Practice | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Llyern L Bartholomew | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Meaghan E Brown | Nurse Practitioner | Maryland Primary Care Physicians, LLC | 1509 Ritchie Hwy, Arnold, MD 21012 |
| Kate N Chowpaknam | Clinical Psychologist | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Angelica Shiels | Clinical Psychologist | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Daniel S Kim | Psychiatry | Arundel Mental Health Professionals Lc | 1509 Ritchie Hwy S-f, Arnold, MD 21012 |
| Find all physicians in zip 21012 | |||
| City | ARNOLD |
| Zip Code | 21012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ARNOLD + 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.