Erickson Health Medical Group Of Maryland Pc | |
3110 Gracefield Rd, Silver Spring, MD 20904-1820 | |
(301) 572-8340 | |
(301) 572-8403 |
Full Name | Erickson Health Medical Group Of Maryland Pc |
---|---|
Type | Facility |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 3110 Gracefield Rd, Silver Spring, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205856549 | NPI | - | NPPES |
9680-0059 | Other | BCBS OF DC | |
0008 | Other | CAREFIRST BCBS | |
42455801 | Other | BCBS MD | |
T016 | Other | BCBS DC | |
04-04109 | Other | EVERCARE | |
400550300 | Medicaid | MD | |
008203102 | Medicaid | MD | |
0943-SE-881489-01 | Other | BCBS OF MD | |
138CSE | Other | BCBS MD |
Provider Name | Lynne D Diggs |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306835475 PECOS PAC ID: 7012815624 Enrollment ID: I20031220000025 |
Provider Name | Mark A Parkhurst |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629154539 PECOS PAC ID: 7618863051 Enrollment ID: I20040224000497 |
Provider Name | Bruce T Fox |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1699877290 PECOS PAC ID: 1254323256 Enrollment ID: I20040331000724 |
Provider Name | Loveen Puthumana |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1235175043 PECOS PAC ID: 7911997689 Enrollment ID: I20040514000435 |
Provider Name | Michael Westerman |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1013929181 PECOS PAC ID: 2769463322 Enrollment ID: I20040528000421 |
Provider Name | Roberta L Worrall Feldhausen |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1841222973 PECOS PAC ID: 9032175153 Enrollment ID: I20041209000471 |
Provider Name | Roberto F Araujo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1609805571 PECOS PAC ID: 7618918913 Enrollment ID: I20051222000139 |
Provider Name | Wendy W De Silva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649200825 PECOS PAC ID: 1355385949 Enrollment ID: I20070222000336 |
Provider Name | Deborah A Stein |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538214382 PECOS PAC ID: 3870692502 Enrollment ID: I20070621000252 |
Provider Name | Thomas F Morris |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1326056045 PECOS PAC ID: 6901861251 Enrollment ID: I20120124000393 |
Provider Name | Emmanuel Osei Boamah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639282460 PECOS PAC ID: 6901802495 Enrollment ID: I20131112000731 |
Provider Name | Aubin K Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730578709 PECOS PAC ID: 9234458084 Enrollment ID: I20150429002076 |
Provider Name | Efemwonyi Jesuorobo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760835003 PECOS PAC ID: 7214202902 Enrollment ID: I20181121000815 |
Provider Name | Shannon L Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922599984 PECOS PAC ID: 9931454659 Enrollment ID: I20210203001033 |
Provider Name | Lauren P Sweetser |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154528396 PECOS PAC ID: 9436283272 Enrollment ID: I20230202000968 |
Provider Name | Donna J Servedio O'neill |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538867981 PECOS PAC ID: 6507231370 Enrollment ID: I20230408000176 |
Provider Name | Kenderlate Arthus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043980550 PECOS PAC ID: 8527423326 Enrollment ID: I20230501001936 |
Provider Name | Benjamin Kleinman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1003079476 PECOS PAC ID: 3577759703 Enrollment ID: I20241106000513 |
Provider Name | Ashley Kinder |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982920476 PECOS PAC ID: 4385861210 Enrollment ID: I20241203001683 |
Provider Name | Ting-jia Lorigiano |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417448861 PECOS PAC ID: 5395096176 Enrollment ID: I20241227002500 |
Provider Name | Amorie Ebanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851052260 PECOS PAC ID: 1254873706 Enrollment ID: I20241231000061 |
Provider Name | Audra Ford |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346464286 PECOS PAC ID: 5991992570 Enrollment ID: I20250113000346 |
Mailing Address | Practice Location Address |
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Erickson Health Medical Group Of Maryland Pc 5730 Executive Dr Ste 230, Catonsville, MD 21228-1762 Ph: (301) 572-8340 | Erickson Health Medical Group Of Maryland Pc 3110 Gracefield Rd, Silver Spring, MD 20904-1820 Ph: (301) 572-8340 |