| Mr Itamar Simhon, | |
|
9658 Baltimore Ave Ste 420, College Park, MD 20740 | |
| (301) 328-1996 | |
| Not Available |
| Full Name | Mr Itamar Simhon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 9658 Baltimore Ave Ste 420, College Park, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548774524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R184486 (Maryland) | Primary |
| 363L00000X | Nurse Practitioner | APRN11038961 (Florida) | Secondary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Terrapin Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104171404 PECOS PAC ID: 7719135086 Enrollment ID: O20120911000245 |
| Entity Name | Bethesda Spine & Posture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780244624 PECOS PAC ID: 7214366905 Enrollment ID: O20200401000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Itamar Simhon, 8 Vallingby Cir, Rockville, MD 20850-2762 Ph: (301) 806-0361 | Mr Itamar Simhon, 9658 Baltimore Ave Ste 420, College Park, MD 20740 Ph: (301) 328-1996 |
Jessica De Grasse, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Road, Suite L1, College Park, MD 20740 Phone: 301-346-1900 | |
Dr. Deborah Ekighalo Okonofua, FNP, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Baltimore Ave Ste 510, College Park, MD 20740 Phone: 240-467-5739 Fax: 240-467-5795 | |
Grace Okhuereigbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Baltimore Ave Ste 510, College Park, MD 20740 Phone: 301-875-5511 | |
Zainab Koroma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7100 Baltimore Ave, College Park, MD 20740 Phone: 202-269-6000 | |
Dr. Adedayo Adekemisola Ekundayo, PHD CRNP CCRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7309 Baltimore Ave Ste 220, College Park, MD 20740 Phone: 301-892-6296 Fax: 301-746-0551 | |
Christianah T Olufade, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 Niagara Rd Ste 107, College Park, MD 20740 Phone: 301-755-7685 | |
Jonathan Adam Correia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9658 Baltimore Ave Ste 420, College Park, MD 20740 Phone: 301-220-1930 Fax: 301-220-1906 |