| Md Matt Llc | |
|
10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 | |
| (443) 559-4137 | |
| Not Available |
| Full Name | Md Matt Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10220 S Dolfield Rd Ste 106, Owings Mills, Maryland |
| Authorized Official Name and Position | William Cory Shaffer (CARE COORDINATOR) |
| Authorized Official Contact | 4435594137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Matt Llc 10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 Ph: (443) 559-4137 | Md Matt Llc 10220 S Dolfield Rd Ste 106 Owings Mills MD 21117-3660 Ph: (443) 559-4137 |
| NPI Number | 1669941175 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 6800297524 |
|---|---|
| Medicare Enrollment ID | O20210701000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669941175 | NPI | - | NPPES |
| 181014600 | Medicaid | MD |
| Provider Name | Chinyere Umezurike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407261654 PECOS PAC ID: 9133497530 Enrollment ID: I20170607001387 |
| Provider Name | Calandra N Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962050104 PECOS PAC ID: 8325378995 Enrollment ID: I20190924002942 |
| Provider Name | Maisha White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841850419 PECOS PAC ID: 2163752437 Enrollment ID: I20190930001823 |
| Provider Name | Ashley J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609472679 PECOS PAC ID: 6608284898 Enrollment ID: I20210428002100 |
| Provider Name | Shakeya Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215507801 PECOS PAC ID: 7012305949 Enrollment ID: I20211026003682 |
| Provider Name | Halima Naluwooza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982235040 PECOS PAC ID: 5092125336 Enrollment ID: I20230905003017 |
| Provider Name | Lilian Akworkuo Lartey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467144626 PECOS PAC ID: 1052768140 Enrollment ID: I20231110002287 |
| Provider Name | Shelby A Councill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841062643 PECOS PAC ID: 3173974821 Enrollment ID: I20240108003920 |
| Provider Name | Vivian Adaeze Imo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528651924 PECOS PAC ID: 3072965813 Enrollment ID: I20240117004217 |
| Provider Name | Amber Larie Abell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447989363 PECOS PAC ID: 5193268738 Enrollment ID: I20240624001702 |
| Provider Name | Carole Robinson Douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295950640 PECOS PAC ID: 3072053057 Enrollment ID: I20240904004684 |
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