| Dr Tita Pale Ndognjem, DNAP/CRNA | |
|
901 Harry S Truman Dr N, Largo, MD 20774-5477 | |
| (202) 427-9403 | |
| Not Available |
| Full Name | Dr Tita Pale Ndognjem |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 901 Harry S Truman Dr N, Largo, Maryland |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043937832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R219432 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Potomac Anesthesia Consultants Llc | 7416343728 | 16 |
| Lifebridge Anesthesia Associates Llc | 2062514888 | 100 |
| Johns Hopkins University | 8921903147 | 2699 |
| Entity Name | First Colonies Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040607001456 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Entity Name | North American Partners In Anesthesia Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20140317000783 |
| Entity Name | Medstar Medical Group Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
| Entity Name | Northrium Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336700160 PECOS PAC ID: 2062742406 Enrollment ID: O20190926002759 |
| Entity Name | Potomac Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225781297 PECOS PAC ID: 7416343728 Enrollment ID: O20220413000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tita Pale Ndognjem, DNAP/CRNA 6201 Greenleigh Ave Fl 2, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Dr Tita Pale Ndognjem, DNAP/CRNA 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (202) 427-9403 |
Marcos S Faltamo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln, Largo, MD 20774 Phone: 301-317-0020 Fax: 301-317-0028 | |
Aminata Tholley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 301-204-2999 |