Katharine L Modisett (NPI# 1821389743, PAC ID# 6608195417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1821389743 |
| PAC ID by PECOS | 6608195417 |
| Professional Enrollment ID | I20150429000935 |
| Full Name | Katharine L Modisett |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
7503 Surratts Rd Clinton MD 20735-3358 |
| Phone Number | 3018688000 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7503 Surratts Rd, Clinton, MD 20735-3358 | 3018688000 | MEDSTAR MEDICAL GROUP II LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Physicians | 582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah T Bergman | Internal Medicine | Medstar Medical Group II LLC | 9105 Franklin Square Dr, Rosedale, MD 21237-3930 |
| Mary Heathcote | Family Medicine | Medstar Medical Group II LLC | 1818 H St Nw, Washington, DC 20433-0001 |
| Lauren Marie Perz | Family Medicine | Medstar Medical Group II LLC | 23511 Hollywood Rd, Suite 2, Leonardtown, MD 20650-5833 |
| Tolulope A Agunbiade | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 1145 19th St Nw, 311 Mmg At 19th Street Nw, Washington, DC 20036-3735 |
| Terence Leonard O'rourke | Family Medicine | Medstar Medical Group II LLC | 1120 20th St Nw, Medstar At Lafayette, Washington, DC 20036-3406 |
| Khalil Ibrahim | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 5601 Loch Raven Blvd Russel Morga, Ste206, Baltimore, MD 21239-2945 |
| Robert C Clark | Internal Medicine | Medstar Medical Group II LLC | 3301 New Mexico Ave, 205 Mmg At New Mexico Ave, Washington, DC 20016-3627 |
| Elizabeth M Hodson | Nurse Practitioner | Medstar Medical Group II LLC | 12111 Darnestown Rd, Gaithersburg, MD 20878-3211 |
| Caroline Simm | Nurse Practitioner | Medstar Medical Group II LLC | 2227 Old Emmorton Rd, 220 Mmgii At Smaldore, Bel Air, MD 21015-6189 |
| Christian C Glaser | Sports Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Street Address |
7503 SURRATTS RD |
| City | CLINTON |
| State | MD |
| Zip | 20735-3358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara W Dawson | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Jacques A Zephirin | General Surgery | Surgical Associates Chartered | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Anna J Prall | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Kanchanish Kaur | Anesthesiology Assistant | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Corry Tunstall | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Rui Hong | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Arash Taleghani | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Mabinty A Kamara | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Feras F Karadsheh | Internal Medicine | Mgmc LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Shanthi G Badipatla | Internal Medicine | Mgmc LLC | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chyrisse Wilkins | Chiropractic | 7901 Branch Ave, Clinton, MD 20735-1626 | |
| Mary T Arcari | Clinical Social Worker | 7700 Old Branch Ave, B 105, Clinton, MD 20735-1628 | |
| Rosario Fernandez | Family Medicine | 7700 Old Branch Ave, Clinton, MD 20735-1628 | |
| Marques A Julius | Physical Therapy | 7700 Old Branch Ave, Clinton, MD 20735-1628 | |
| Philip L. Briley | Psychologist, Clinical | 7700 Old Branch Ave, Suite B105, Clinton, MD 20735-1628 | |
| Sheila A West | Clinical Social Worker | 7700 Old Branch Ave, Suite B105, Clinton, MD 20735-1628 | |
| Cheryl Jones | Physical Therapy | 7700 Old Branch Ave, E108, Clinton, MD 20735-1628 | |
| James S Chesley Jr. | Anesthesiology | 7700 Old Branch Ave, Suite B101, Clinton, MD 20735-1628 | |
| Moez L Pirmohamed | Gastroenterology | 7700 Old Branch Ave, A102, Clinton, MD 20735-1628 | |
| Michael J Papantones | Clinical Psychologist | 7700 Old Branch Ave, Suite B105, Clinton, MD 20735-1628 | |
| Find all physicians in zip 20735 | |||
| City | CLINTON |
| Zip Code | 20735 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CLINTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Katharine L Modisett.
| 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.