Rodell E Cruise Jr. (NPI# 1881687762, PAC ID# 9335249770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881687762 |
| PAC ID by PECOS | 9335249770 |
| Professional Enrollment ID | I20170727000951 |
| Full Name | Rodell E Cruise Jr. |
| Organization Legal Name | GREATER BADEN MEDICAL SERVICE INCORPORATED |
| Address |
1442 Addison Rd S Capitol Heights MD 20743-4413 |
| Phone Number | 3013241500 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981632650 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1442 Addison Rd S, Capitol Heights, MD 20743-4413 | 3013241500 | GREATER BADEN MEDICAL SERVICE INCORPORATED |
| 1458 Addison Rd S, Capitol Heights, MD 20743-4413 | 3013241500 | GREATER BADEN MEDICAL SERVICE INCORPORATED |
| Organization Legal Name | GREATER BADEN MEDICAL SERVICE INCORPORATED |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Williams | Psychiatry | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Georgia L Bewayo | Nurse Practitioner | Greater Baden Medical Service Incorporated | 6 Garrett Ave, La Plata, MD 20646-5959 |
| Andrea R Phillips | Nurse Practitioner | Greater Baden Medical Service Incorporated | 23140 Moakley St, Suite 4, Leonardtown, MD 20650-2923 |
| Alicia Renee Tomlinson | Nurse Practitioner | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Shauna Dixon | Registered Dietitian Or Nutrition Professional | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Allanna D Webb | Nurse Practitioner | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Debra A Vereen | Family Medicine | Greater Baden Medical Service Incorporated | 23140 Moakley St, Suite 4, Leonardtown, MD 20650-2923 |
| Debra S Apperson | Nurse Practitioner | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Susan T Cheseldine | Clinical Social Worker | Greater Baden Medical Service Incorporated | 6 Garrett Ave, La Plata, MD 20646-5959 |
| Andrea P Watkins | Psychiatry | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Street Address |
1442 ADDISON RD S |
| City | CAPITOL HEIGHTS |
| State | MD |
| Zip | 20743-4413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Williams | Psychiatry | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Alicia Renee Tomlinson | Nurse Practitioner | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Shauna Dixon | Registered Dietitian Or Nutrition Professional | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Allanna D Webb | Nurse Practitioner | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Debra S Apperson | Nurse Practitioner | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Andrea P Watkins | Psychiatry | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Samuel Croff Jr. | Family Medicine | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Charles Key Cooper | Internal Medicine | Greater Baden Medical Service Incorporated | 1442 Addison Rd S, Capitol Heights, MD 20743-4413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Warfield | Internal Medicine | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Susan R Giscombe | Nurse Practitioner | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Helene Fisher | Emergency Medicine | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Martin Liss | Internal Medicine | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Mubarik A Shah | General Surgery | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Lisa Elaine Thompson | Physician Assistant | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Isata Kallon | Physician Assistant | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Halima Ama Pickett | Nurse Practitioner | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| David Alexander Chrostowski | Emergency Medicine | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Lisa Malloy | Family Practice | American Current Care Pa | 9141 Alaking Ct, Suite 112, Capitol Heights, MD 20743-5049 |
| Find all physicians in zip 20743 | |||
| City | CAPITOL HEIGHTS |
| Zip Code | 20743 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAPITOL HEIGHTS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rodell E Cruise Jr..
| 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.