Phillip Proctor (NPI# 1871685339, PAC ID# 7517029135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1871685339 |
| PAC ID by PECOS | 7517029135 |
| Professional Enrollment ID | I20081216000387 |
| Full Name | Phillip Proctor |
| Organization Legal Name | MIDATLANTIC UROLOGY ASSOCIATES LLC |
| Address |
14300 Gallant Fox Ln Suite 124 Bowie MD 20715-4031 |
| Phone Number | 3014772000 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | UROLOGY |
| Group Practice PAC ID | 4385646926 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14300 Gallant Fox Ln, Suite 124, Bowie, MD 20715-4031 | 3014772000 | MIDATLANTIC UROLOGY ASSOCIATES LLC |
| 7500 Greenway Ctr Dr, Fl 8, Greenbelt, MD 20770-3502 | 3014772000 | MIDATLANTIC UROLOGY ASSOCIATES LLC |
| Organization Legal Name | MIDATLANTIC UROLOGY ASSOCIATES LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harbhajan S Ajrawat | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Walid A Mufarrij | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Navin C Shah | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Shailendra Kumar | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Frank S Melograna | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Eric R Emanuel | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Myron I Murdock | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Jonah D Murdock | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Anand M Dhanda | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Arnold J Willis | Urology | Midatlantic Urology Associates LLC | 7500 Greenway Ctr Dr, Greenbelt, MD 20770-3502 |
| Street Address |
14300 GALLANT FOX LN SUITE 124 |
| City | BOWIE |
| State | MD |
| Zip | 20715-4031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Pisano | Clinical Social Worker | 14300 Gallant Fox Ln, Suite 107, Bowie, MD 20715-4031 | |
| Robert P Williams | Gastroenterology | 14300 Gallant Fox Ln, Suite 118, Bowie, MD 20715-4031 | |
| Gerard P Champaloux | Family Medicine | 14300 Gallant Fox Ln, Suite 110, Bowie, MD 20715-4031 | |
| Lana E Segerman | Clinical Social Worker | 14300 Gallant Fox Ln, Suite 109, Bowie, MD 20715-4031 | |
| Rachna Arora | Internal Medicine | Rakesh Arora Md Faa Fp Pa | 14300 Gallant Fox Ln, Suite 222, Bowie, MD 20715-4033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betty Silon | Psychologist, Clinical | 13309 Yorktown Dr, Bowie, MD 20715-1459 | |
| Joseph M Oppong Jr. | Anesthesiology | Providence Pain Management Center. | 6911 Laurel Bowie Rd, Suite 212, Bowie, MD 20715-1712 |
| Janine Smith-marshall | Ophthalmology | 6915 Laurel Bowie Rd, Suite 102, Bowie, MD 20715-1715 | |
| Cassandra Hill | Qualified Speech Language Pathologist | 6915 Laurel Bowie Rd, Suite 103, Bowie, MD 20715-1715 | |
| Jennifer Gordon | Physical Therapy | Mosaddegh Physical Therapy Inc | 6915 Laurel Bowie Rd, Suite 100, Bowie, MD 20715-1715 |
| Jamila C Rawlings Logan | Physical Therapy | Mosaddegh Physical Therapy Inc | 6915 Laurel Bowie Rd, Suite 100, Bowie, MD 20715-1715 |
| Marcia E Jacobs | Qualified Audiologist | Jacobs Audiology LLC | 6915 Laurel Bowie Rd, Suite 304, Bowie, MD 20715-1725 |
| Randi L Pinno | Qualified Audiologist | Jacobs Audiology LLC | 6915 Laurel Bowie Rd, Suite 304, Bowie, MD 20715-1725 |
| Uttam K Sarkar | Physician Assistant | Patient First Maryland Medical Group Pllc | 15459 Annapolis Rd, Bowie, MD 20715-1847 |
| Aneesa S Webb | Physician Assistant | Patient First Maryland Medical Group Pllc | 15459 Annapolis Rd, Bowie, MD 20715-1847 |
| Find all physicians in zip 20715 | |||
| City | BOWIE |
| Zip Code | 20715 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BOWIE + GENERAL SURGERY |
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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.