| Atlantic General Hospital Corporation | |
|
10026 Old Ocean City Blvd Ste 1 Berlin MD 21811-1288 | |
| (410) 641-9450 | |
| Not Available |
| Full Name | Atlantic General Hospital Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10026 Old Ocean City Blvd Ste 1, Berlin, Maryland |
| Authorized Official Name and Position | Stephanie Gary (SVP, FINANCE/CFO OF TIDALHEALTH) |
| Authorized Official Contact | 4109126059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic General Hospital Corporation 9733 Healthway Dr # 41 Berlin MD 21811-1155 Ph: (410) 629-6037 | Atlantic General Hospital Corporation 10026 Old Ocean City Blvd Ste 1 Berlin MD 21811-1288 Ph: (410) 641-9450 |
| NPI Number | 1871582171 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 05/30/2025 |
| Medicare PECOS PAC ID | 2365437837 |
|---|---|
| Medicare Enrollment ID | O20040415000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871582171 | NPI | - | NPPES |
| 250610237 | Medicaid | DE | |
| E707 | Other | MD | CAREFIRST MD GROUP |
| 514300400 | Medicaid | MD |
| Provider Name | Branislav Romanic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649239153 PECOS PAC ID: 0143122945 Enrollment ID: I20040122000809 |
| Provider Name | Manoj Jain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285620369 PECOS PAC ID: 1456252378 Enrollment ID: I20040216001280 |
| Provider Name | Mark D Strong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386619930 PECOS PAC ID: 0648266114 Enrollment ID: I20040421000722 |
| Provider Name | Kelson Figaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831128750 PECOS PAC ID: 1759275340 Enrollment ID: I20040527000498 |
| Provider Name | Darlene A Jameson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578546198 PECOS PAC ID: 1254316979 Enrollment ID: I20040618000572 |
| Provider Name | Gregory W Stamnas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982693701 PECOS PAC ID: 4082694013 Enrollment ID: I20040721001027 |
| Provider Name | Abel Batuure |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306824081 PECOS PAC ID: 2466427406 Enrollment ID: I20040901000697 |
| Provider Name | Stella D Ejiofoh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780652446 PECOS PAC ID: 2860454519 Enrollment ID: I20041103001171 |
| Provider Name | Raphael N Dodoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508835497 PECOS PAC ID: 9931167400 Enrollment ID: I20041230000098 |
| Provider Name | Juliet Van Egmond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639168818 PECOS PAC ID: 6406807817 Enrollment ID: I20050202001053 |
| Provider Name | Charles B Hickok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720066277 PECOS PAC ID: 8527972686 Enrollment ID: I20050330000922 |
| Provider Name | Gerard J Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265470199 PECOS PAC ID: 5597700047 Enrollment ID: I20050624000265 |
| Provider Name | Munna Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902895444 PECOS PAC ID: 6406881341 Enrollment ID: I20050929000610 |
| Provider Name | Carrie Dawes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104923523 PECOS PAC ID: 2365465796 Enrollment ID: I20060111000567 |
| Provider Name | Dawn M Kennedy-little |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316994601 PECOS PAC ID: 0143202986 Enrollment ID: I20060303000584 |
| Provider Name | John A Gillespie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013998202 PECOS PAC ID: 0941249650 Enrollment ID: I20060303000669 |
| Provider Name | Suleika Jb Michel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710945928 PECOS PAC ID: 0941210074 Enrollment ID: I20060503000433 |
| Provider Name | Joseph A Cinderella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407848609 PECOS PAC ID: 5294718730 Enrollment ID: I20060725000311 |
| Provider Name | Christian D Bounds |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528050648 PECOS PAC ID: 7315950029 Enrollment ID: I20060725000340 |
| Provider Name | Steven E Hearne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184616088 PECOS PAC ID: 1759394463 Enrollment ID: I20060725000353 |
| Provider Name | Atif Zeeshan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033154125 PECOS PAC ID: 1254338270 Enrollment ID: I20061103000154 |
| Provider Name | Jeffrey Wieland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336124171 PECOS PAC ID: 7315945581 Enrollment ID: I20061122000302 |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20070122000531 |
| Provider Name | Alae Zarif |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366444168 PECOS PAC ID: 6406855022 Enrollment ID: I20070129000543 |
| Provider Name | Dennis J. Chodnicki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801871678 PECOS PAC ID: 1052313566 Enrollment ID: I20070213000593 |
| Provider Name | Stephan Pavlos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619952439 PECOS PAC ID: 2668497009 Enrollment ID: I20070214000031 |
| Provider Name | Rene L Desmarais |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518942390 PECOS PAC ID: 6103828413 Enrollment ID: I20070215000080 |
| Provider Name | James J Morton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114975778 PECOS PAC ID: 5496745168 Enrollment ID: I20070611000157 |
| Provider Name | Virginia Paige Wildmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316971302 PECOS PAC ID: 5193819555 Enrollment ID: I20070917000567 |
| Provider Name | David Gannon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376521492 PECOS PAC ID: 9931296175 Enrollment ID: I20071105000083 |
| Provider Name | Christine D Neto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376559500 PECOS PAC ID: 2961590708 Enrollment ID: I20071113000254 |
| Provider Name | Edwin T Castaneda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063412385 PECOS PAC ID: 8729177621 Enrollment ID: I20071129000585 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20080109000500 |
| Provider Name | Cheryl L Layfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033193479 PECOS PAC ID: 3577632629 Enrollment ID: I20080515000593 |
| Provider Name | Scott R Griffith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508885203 PECOS PAC ID: 7416953609 Enrollment ID: I20080610000146 |
| Provider Name | Danielle J Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043427081 PECOS PAC ID: 1456425255 Enrollment ID: I20080729000228 |
| Provider Name | Preeti Yonker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841409000 PECOS PAC ID: 9537220769 Enrollment ID: I20081206000151 |
| Provider Name | Amy Sood Barshinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548455256 PECOS PAC ID: 5991852345 Enrollment ID: I20090422000186 |
| Provider Name | Jeffrey E Fernley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578559563 PECOS PAC ID: 4880660034 Enrollment ID: I20090511000324 |
| Provider Name | Eric Bontempo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689673659 PECOS PAC ID: 8123003324 Enrollment ID: I20091216000236 |
| Provider Name | Diane Marie Ceruzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104803253 PECOS PAC ID: 7719913458 Enrollment ID: I20100309000646 |
| Provider Name | Angela M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225363922 PECOS PAC ID: 3173659380 Enrollment ID: I20100408000530 |
| Provider Name | Stephen Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871583807 PECOS PAC ID: 6204967987 Enrollment ID: I20100624000097 |
| Provider Name | Lisa H Bayles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093704553 PECOS PAC ID: 3173718277 Enrollment ID: I20101115001240 |
| Provider Name | Deborah Tabulov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497786131 PECOS PAC ID: 2466648217 Enrollment ID: I20101119000272 |
| Provider Name | David Y Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902852809 PECOS PAC ID: 9638365323 Enrollment ID: I20101119000806 |
| Provider Name | Barbara Jayne Nazelrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831316173 PECOS PAC ID: 5395931737 Enrollment ID: I20101124000018 |
| Provider Name | William M Reid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699713941 PECOS PAC ID: 5991991218 Enrollment ID: I20101130000115 |
| Provider Name | Robert John Davis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124065180 PECOS PAC ID: 9234173477 Enrollment ID: I20101229000638 |
| Provider Name | Lee W Klepper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649268004 PECOS PAC ID: 4587846654 Enrollment ID: I20110310000491 |
| Provider Name | Anita K Pascucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598903999 PECOS PAC ID: 6608059571 Enrollment ID: I20110330000830 |
| Provider Name | Anthony Masone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841348018 PECOS PAC ID: 7719059583 Enrollment ID: I20110419000282 |
| Provider Name | Marguerite M Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851530919 PECOS PAC ID: 7517138381 Enrollment ID: I20110928000050 |
| Provider Name | Jonathan D Bell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437147873 PECOS PAC ID: 3779578844 Enrollment ID: I20111020000333 |
| Provider Name | Nicki A Akstinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447339957 PECOS PAC ID: 9830361690 Enrollment ID: I20111020000596 |
| Provider Name | Corey A Gilbert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366684417 PECOS PAC ID: 7719151091 Enrollment ID: I20111123000102 |
| Provider Name | Lawrence W Kemp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619916855 PECOS PAC ID: 3274531165 Enrollment ID: I20120521000364 |
| Provider Name | Peter Costantini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982704342 PECOS PAC ID: 4880756485 Enrollment ID: I20120829000046 |
| Provider Name | Rabindra N Paul |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225004930 PECOS PAC ID: 0143253351 Enrollment ID: I20130125000166 |
| Provider Name | Shahzad Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754327 PECOS PAC ID: 3274772934 Enrollment ID: I20130611000071 |
| Provider Name | Ryan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760826275 PECOS PAC ID: 7618155409 Enrollment ID: I20130919000112 |
| Provider Name | James Cherry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114945672 PECOS PAC ID: 6800841982 Enrollment ID: I20131011000712 |
| Provider Name | Amy M Gehrig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558593814 PECOS PAC ID: 1456581420 Enrollment ID: I20140313001514 |
| Provider Name | Lawrence S Lepler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477613958 PECOS PAC ID: 6901814987 Enrollment ID: I20140417000050 |
| Provider Name | Jena L Crisler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720093511 PECOS PAC ID: 3173573987 Enrollment ID: I20140425000090 |
| Provider Name | Gena D Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992045363 PECOS PAC ID: 2668698846 Enrollment ID: I20140724000279 |
| Provider Name | Amanda G Buckley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720408610 PECOS PAC ID: 4981821592 Enrollment ID: I20140805002106 |
| Provider Name | Nusirat Jinadu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558518589 PECOS PAC ID: 1658593751 Enrollment ID: I20141105000444 |
| Provider Name | Eric Ofori |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104057751 PECOS PAC ID: 3577699859 Enrollment ID: I20150921001473 |
| Provider Name | Michelle G Farlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790034569 PECOS PAC ID: 7719107036 Enrollment ID: I20151027002340 |
| Provider Name | Babette Pennay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609889112 PECOS PAC ID: 8123122660 Enrollment ID: I20160422001815 |
| Provider Name | Frank Nikolaidis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770536187 PECOS PAC ID: 3274515580 Enrollment ID: I20160525001038 |
| Provider Name | Stephen Chin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700179413 PECOS PAC ID: 1254622160 Enrollment ID: I20160624000216 |
| Provider Name | Xin Zhong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659695237 PECOS PAC ID: 8527292432 Enrollment ID: I20161019000699 |
| Provider Name | Kathleen M Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376983585 PECOS PAC ID: 3870871999 Enrollment ID: I20161025001039 |
| Provider Name | David B Kaplan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285692665 PECOS PAC ID: 6800785858 Enrollment ID: I20161115000336 |
| Provider Name | Patricia Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033465166 PECOS PAC ID: 4284901257 Enrollment ID: I20170523000099 |
| Provider Name | Oswaldo A Nicastro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043336613 PECOS PAC ID: 1951426253 Enrollment ID: I20171215001715 |
| Provider Name | Sadia Sarzynski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760794333 PECOS PAC ID: 2062775018 Enrollment ID: I20180405000966 |
| Provider Name | Shahabuddin Soherwardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548646383 PECOS PAC ID: 7416246228 Enrollment ID: I20180521001373 |
| Provider Name | Tracey Wooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104302983 PECOS PAC ID: 4981956687 Enrollment ID: I20181008002367 |
| Provider Name | David M Wanalista |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497789077 PECOS PAC ID: 8022075589 Enrollment ID: I20181128002796 |
| Provider Name | Diangela Prunesti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598108839 PECOS PAC ID: 3072819309 Enrollment ID: I20190322001753 |
| Provider Name | Bryce Blanton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356735880 PECOS PAC ID: 2466789029 Enrollment ID: I20190806001869 |
| Provider Name | Jason Alan Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861604241 PECOS PAC ID: 8123296613 Enrollment ID: I20190816000452 |
| Provider Name | Craig T Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891347761 PECOS PAC ID: 2567890866 Enrollment ID: I20200320000483 |
| Provider Name | Melissa L Braniff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215568407 PECOS PAC ID: 2668893702 Enrollment ID: I20200528001382 |
| Provider Name | Lauren Renee Labe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124648936 PECOS PAC ID: 6002232972 Enrollment ID: I20200824000179 |
| Provider Name | Kathleen E Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871141325 PECOS PAC ID: 4284064411 Enrollment ID: I20200826002645 |
| Provider Name | Michael Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629625603 PECOS PAC ID: 1557792587 Enrollment ID: I20200924001510 |
| Provider Name | Deepa Abhilash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831718972 PECOS PAC ID: 7214356880 Enrollment ID: I20200930003381 |
| Provider Name | Diane E Skolka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768538 PECOS PAC ID: 1254741150 Enrollment ID: I20201104001826 |
| Provider Name | Latoya Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871145375 PECOS PAC ID: 6305257460 Enrollment ID: I20201120000246 |
| Provider Name | Christina W Hargis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073122461 PECOS PAC ID: 5294149266 Enrollment ID: I20210203000040 |
| Provider Name | Whitney Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104454701 PECOS PAC ID: 9931516705 Enrollment ID: I20210323000050 |
| Provider Name | Matthew W Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856299 PECOS PAC ID: 6103254669 Enrollment ID: I20210422000328 |
| Provider Name | Ellen C Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598260580 PECOS PAC ID: 2668729401 Enrollment ID: I20210728000338 |
| Provider Name | Elaina Marie Gaden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710560529 PECOS PAC ID: 0547665168 Enrollment ID: I20210819003539 |
| Provider Name | Margo L Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144366816 PECOS PAC ID: 8628132917 Enrollment ID: I20211021001931 |
| Provider Name | Christopher Michael Farrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811965536 PECOS PAC ID: 0840205936 Enrollment ID: I20211115001043 |
| Provider Name | Jeremy F Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760549323 PECOS PAC ID: 1557553559 Enrollment ID: I20211115001864 |
| Provider Name | Kathleen Dorsch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972187433 PECOS PAC ID: 9537552096 Enrollment ID: I20220203002545 |
| Provider Name | Emily Goodchild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164181509 PECOS PAC ID: 5991190977 Enrollment ID: I20220310001592 |
| Provider Name | Michael Diclemente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639160088 PECOS PAC ID: 7719063932 Enrollment ID: I20220328001170 |
| Provider Name | Maria Haskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588317440 PECOS PAC ID: 8628464880 Enrollment ID: I20220415000935 |
| Provider Name | Rodney W Williams |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811019599 PECOS PAC ID: 7113812363 Enrollment ID: I20230118002222 |
| Provider Name | Allison Paige Pusey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366163172 PECOS PAC ID: 6305217738 Enrollment ID: I20230124000066 |
| Provider Name | Osamuyimen O Igbinosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386907921 PECOS PAC ID: 6406012608 Enrollment ID: I20230417000794 |
| Provider Name | Cristian Francisco Salgado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093337677 PECOS PAC ID: 7416319009 Enrollment ID: I20230814003337 |
| Provider Name | Lisa Shives |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740322825 PECOS PAC ID: 0042241937 Enrollment ID: I20240105001743 |
| Provider Name | Scott Itzkowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548240229 PECOS PAC ID: 4880777424 Enrollment ID: I20240117000879 |
| Provider Name | Onyinyechukwu Nwankwo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184987091 PECOS PAC ID: 9537411988 Enrollment ID: I20240709004575 |
| Provider Name | Suzin Durosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841678091 PECOS PAC ID: 3274833009 Enrollment ID: I20240722003236 |
| Provider Name | Edward Hamaty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932122819 PECOS PAC ID: 8123922820 Enrollment ID: I20241009004009 |
| Provider Name | Mary Darden Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407685829 PECOS PAC ID: 2365977097 Enrollment ID: I20241119000521 |
Tidalhealth Specialty Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11103 Cathage Rd, Berlin, MD 21811 Phone: 410-641-2938 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9958 N. Main Street, Berlin, MD 21811 Phone: 410-973-2820 Fax: 410-973-2843 | |
Shorewellness And Med Spa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Racetrack Rd Ste A104, Berlin, MD 21811 Phone: 410-973-1030 Fax: 410-973-1029 | |
Atlantic General Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10231 Old Ocean City Blvd Ste 207, Berlin, MD 21811 Phone: 410-641-9568 | |
Peninsual Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10514 Racetrack Rd Ste C, Ocean Pines Family Medicine, Berlin, MD 21811 Phone: 410-641-8585 Fax: 410-641-6616 | |
Edwin T. Castaneda, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10324 Old Ocean City Blvd, Berlin, MD 21811 Phone: 410-629-0041 Fax: 410-641-9515 | |
Three Lower Counties Community Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9956 N Main St, Unit# 2, Berlin, MD 21811 Phone: 410-973-2820 Fax: 410-973-2843 |