Judy M Cao (NPI# 1003288721, PAC ID# 5890090872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003288721 |
| PAC ID by PECOS | 5890090872 |
| Professional Enrollment ID | I20180122002076 |
| Full Name | Judy M Cao |
| Organization Legal Name | PRIVIA CARE CENTER LLC |
| Address |
110 Baughmans Ln Suite 140 Frederick MD 21702-4649 |
| Phone Number | 2402151138 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274801139 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 133 Defense Hwy, Annapolis, MD 21401-7015 | PRIVIA MEDICAL GROUP,LLC | |
| 610 9th Ave, Brunswick, MD 21716-1828 | 3018347188 | PRIVIA CARE CENTER LLC |
| 610 9th Ave, Brunswick, MD 21716-1828 | PRIVIA MEDICAL GROUP,LLC | |
| 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 | 2402151138 | PRIVIA CARE CENTER LLC |
| 4014 Mountville Rd, Jefferson, MD 21755-7713 | 3018347188 | PRIVIA CARE CENTER LLC |
| 4014 Mountville Rd, Jefferson, MD 21755-7713 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA CARE CENTER LLC |
| Physicians | 132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Adebowale Prest | Family Medicine | Privia Care Center LLC | 321 Dorchester Ave, Suite 1, Cambridge, MD 21613-2425 |
| 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 |
110 BAUGHMANS LN SUITE 140 |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Stephen H Lee | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Rebecca L Earley-lee | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Laura Crum | Nurse Practitioner | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Jessica Anne Vossler | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Paige R Welch | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Lauren R Heckhaus | Physician Assistant | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Julio Menocal | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Haroon Akhtar | Family Medicine | Privia Care Center LLC | 110 Baughmans Ln, Suite 140, Frederick, MD 21702-4649 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FREDERICK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Judy M Cao.
| 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.