Jeffrey P Lotlikar (NPI# 1558323204, PAC ID# 6901921691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558323204 |
| PAC ID by PECOS | 6901921691 |
| Professional Enrollment ID | I20100917001097 |
| Full Name | Jeffrey P Lotlikar |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
4660 Wilkens Ave Suite 100 Baltimore MD 21229-4899 |
| Phone Number | 4102470782 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210011 | SAINT AGNES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4660 Wilkens Ave, Suite 100, Baltimore, MD 21229-4899 | 4102470782 | 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 |
4660 WILKENS AVE SUITE 100 |
| City | BALTIMORE |
| State | MD |
| Zip | 21229-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Renee Daniels | Physician Assistant | Advanced Pain Management Specialists LLC | 4660 Wilkens Ave, 208 Kuresmart Pain Management, Baltimore, MD 21229-4848 |
| Sandra S Greer | Nurse Practitioner | Medstar Medical Group II LLC | 4660 Wilkens Ave, Suite 100, Baltimore, MD 21229-4899 |
| Thomas W Jones | Obstetrics/gynecology | 4660 Wilkens Ave, Suite 205, Baltimore, MD 21229-4846 | |
| Michele C Henley | Internal Medicine | Medstar Medical Group II LLC | 4660 Wilkens Ave, Suite 100, Baltimore, MD 21229-4899 |
| Randy Kimery | Physician Assistant | Advanced Pain Management Specialists LLC | 4660 Wilkens Ave, 208 Kuresmart Pain Management, Baltimore, MD 21229-4848 |
| Soma Mitra | Internal Medicine | Medstar Medical Group II LLC | 4660 Wilkens Ave, Suite 100, Baltimore, MD 21229-4899 |
| Steven M Glubo | Podiatry | Giardina and Glubo Dpm Pa | 4660 Wilkens Ave, Suite 202, Baltimore, MD 21229-4846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnny T Yap | Obstetrics/gynecology | 5200 Baltimore National Pike, Baltimore, MD 21229-1024 | |
| Catharine L Weiss | Clinical Psychologist | University Care LLC | 4538 Edmondson Ave, Baltimore, MD 21229-1506 |
| Wondwosen Abdi | Gastroenterology | Wondwosen Abdi, Md,pa | 5411 Old Frederick Rd, Suite 11, Baltimore, MD 21229-2100 |
| Icia Ragsdale | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Telisa Hickson | Clinical Social Worker | National Pike Health Center | 5411 Old Frederick Rd, Suite 13, Baltimore, MD 21229-2126 |
| Sharon Mccormack | Internal Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Christine L Commerford | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Victoria Steiner-larsen | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Damian E Birchess | Family Medicine | Damian E Birchess Md Et Al Ptr Christine L Commerford Md | 5411 Old Frederick Rd, Suite 18, Baltimore, MD 21229-2195 |
| Mesay W Gebresilassie | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 22 S Athol Ave, Baltimore, MD 21229-3405 |
| Find all physicians in zip 21229 | |||
| City | BALTIMORE |
| Zip Code | 21229 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BALTIMORE + 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.