Laura Kate Tom (NPI# 1053610832, PAC ID# 9234446816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1053610832 |
| PAC ID by PECOS | 9234446816 |
| Professional Enrollment ID | I20181009002166 |
| Full Name | Laura Kate Tom |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
106 Irving St Nw 4200 Mmg At Whc Washington DC 20010-2979 |
| Phone Number | 2028772200 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 | 2028772200 | 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 |
106 IRVING ST NW 4200 MMG AT WHC |
| City | WASHINGTON |
| State | DC |
| Zip | 20010-2979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Michael Katz | Obstetrics/gynecology | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Timothy Koch | Gastroenterology | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Mia Digiacomo | Nurse Practitioner | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Jennifer M Ayscue | Colorectal Surgery (proctology) | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Melanie Ann Powell | Family Medicine | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Jennifer E Rosen | General Surgery | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Ivanesa L Pardo Lameda | General Surgery | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Erin Booth | Nurse Practitioner | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Andrea Greetham | Nurse Practitioner | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Nasrin Ansari | General Surgery | Medstar Medical Group II LLC | 106 Irving St Nw 4200, Mmg At Whc, Washington, DC 20010-2979 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lea Stern | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 3401 Georgia Ave Nw, Hero Dental of Washington Dc, Washington, DC 20010-2501 |
| Linda A Myers | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 3401 Georgia Ave Nw, Hero Dental of Washington Dc, Washington, DC 20010-2501 |
| Yue-hin Loke | Pediatric Medicine | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Elshadey Y Bekele | Pediatric Medicine | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Ranjith Vellody | Interventional Radiology | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Jennifer B Dean | Pediatric Medicine | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Paul E Manicone | Pediatric Medicine | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Nada S Harik | Infectious Disease | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Folasade O Ogunlesi | Pediatric Medicine | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Laila A Mahmood | Hematology/oncology | Childrens Hospital | 111 Michigan Ave Nw, Washington, DC 20010-2916 |
| Find all physicians in zip 20010 | |||
| City | WASHINGTON |
| Zip Code | 20010 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WASHINGTON + PLASTIC AND RECONSTRUCTIVE 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.