| Smita N Vazarkar, MD | |
|
4924 Campbell Blvd Ste 200, Nottingham, MD 21236 | |
| (443) 442-2300 | |
| Not Available |
| Full Name | Smita N Vazarkar |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4924 Campbell Blvd Ste 200, Nottingham, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023127669 | NPI | - | NPPES |
| 022004300 | Medicaid | MD | |
| 522000900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D50721 (Maryland) | Primary |
| Entity Name | Johns Hopkins Community Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065 |
| Entity Name | Johns Hopkins Emergency Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922098466 PECOS PAC ID: 3577546753 Enrollment ID: O20040609000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Smita N Vazarkar, MD 9910 Franklin Square Dr # 2110, Baltimore, MD 21236-4902 Ph: (410) 933-5412 | Smita N Vazarkar, MD 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Ph: (443) 442-2300 |
Christina Margaret Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600 Fax: 410-933-7601 | |
Ethel Mojoko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, #200, Nottingham, MD 21236 Phone: 443-442-2300 | |
Kristen Shaw Deitchman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236 Phone: 443-442-2300 Fax: 410-367-2035 | |
Dr. Anthony F Pinto Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Phone: 443-442-2300 | |
Dr. Richard Laroy Dietrich, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236 Phone: 410-933-7600 Fax: 410-933-7802 | |
Dr. Judith Rubin Dejarnette, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600 |