| Genesis Eldercare Physician Services Llc | |
|
6508 Deer Pointe Dr Suite A Salisbury MD 21804 | |
| (410) 543-1957 | |
| (410) 543-8942 |
| Full Name | Genesis Eldercare Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6508 Deer Pointe Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Eric Shapiro (VP, CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services Llc Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 6508 Deer Pointe Dr Suite A Salisbury MD 21804 Ph: (410) 543-1957 |
| NPI Number | 1881635183 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20050124000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881635183 | NPI | - | NPPES |
| 999320700 | Medicaid | MD | |
| 999320705 | Medicaid | MD | |
| B018 | Other | DC | CAREFIRST BCBS OF NCA GP |
| KQ54GE | Other | MD | CAREFIRST BCBS OF MD GP # |
| Provider Name | Sibte A Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861451361 PECOS PAC ID: 5193611887 Enrollment ID: I20040227000781 |
| Provider Name | Nicole R Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023000775 PECOS PAC ID: 4688563273 Enrollment ID: I20040311001528 |
| Provider Name | Linda Kunowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265429435 PECOS PAC ID: 2860488582 Enrollment ID: I20040420001520 |
| Provider Name | Kelson Figaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831128750 PECOS PAC ID: 1759275340 Enrollment ID: I20040527000498 |
| Provider Name | Sharad Satyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033177852 PECOS PAC ID: 4880659143 Enrollment ID: I20041129000287 |
| Provider Name | Gerri Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235276833 PECOS PAC ID: 9638123516 Enrollment ID: I20050303001006 |
| Provider Name | Jennifer Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942209069 PECOS PAC ID: 5890741532 Enrollment ID: I20050408000461 |
| Provider Name | Mateen Awan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316918303 PECOS PAC ID: 0446298731 Enrollment ID: I20050812000547 |
| Provider Name | Malik Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568483493 PECOS PAC ID: 2365472057 Enrollment ID: I20051025000341 |
| Provider Name | Azra Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326014788 PECOS PAC ID: 2163449620 Enrollment ID: I20051025000378 |
| Provider Name | Virginie Chebou Ngantchon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194764514 PECOS PAC ID: 9436176609 Enrollment ID: I20051027000129 |
| Provider Name | Hemen Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821002601 PECOS PAC ID: 2466487897 Enrollment ID: I20051031000335 |
| Provider Name | Jude Cabatingan Muneses |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548286289 PECOS PAC ID: 8224028238 Enrollment ID: I20051227000400 |
| Provider Name | Shirley J Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184771966 PECOS PAC ID: 0941223150 Enrollment ID: I20060112001042 |
| Provider Name | Juachi I Mbah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659326411 PECOS PAC ID: 0345245759 Enrollment ID: I20060918000480 |
| Provider Name | Yogesh Vohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598785412 PECOS PAC ID: 8426059148 Enrollment ID: I20070124000232 |
| Provider Name | Karen Ann Cousins |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912921453 PECOS PAC ID: 1456381474 Enrollment ID: I20070209000069 |
| Provider Name | Getachew Tefferra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770625907 PECOS PAC ID: 6507950136 Enrollment ID: I20070913000413 |
| Provider Name | Muhammad Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710186291 PECOS PAC ID: 0345337671 Enrollment ID: I20071101000683 |
| Provider Name | Sandra B Shaheed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275738965 PECOS PAC ID: 5294819256 Enrollment ID: I20080228000639 |
| Provider Name | Wajahath Mohsini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467637751 PECOS PAC ID: 5698834455 Enrollment ID: I20081107000491 |
| Provider Name | Muhammad A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568575074 PECOS PAC ID: 6800814559 Enrollment ID: I20090216000240 |
| Provider Name | Shirene Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932383288 PECOS PAC ID: 4385785971 Enrollment ID: I20100105000122 |
| Provider Name | Ali M Yahya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013934181 PECOS PAC ID: 8022141803 Enrollment ID: I20100730000183 |
| Provider Name | Kirandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073742102 PECOS PAC ID: 1153445143 Enrollment ID: I20100827000179 |
| Provider Name | Nader Tavakoli-jalili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407059413 PECOS PAC ID: 0143272922 Enrollment ID: I20100921001099 |
| Provider Name | Jacqueline Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360192 PECOS PAC ID: 8224222039 Enrollment ID: I20101104001388 |
| Provider Name | Josjin Vazhappilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851520936 PECOS PAC ID: 8820283583 Enrollment ID: I20101112000163 |
| Provider Name | Uzochukwu W Unegbu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104006360 PECOS PAC ID: 3375677339 Enrollment ID: I20101112000751 |
| Provider Name | Jose G Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417907858 PECOS PAC ID: 6608861778 Enrollment ID: I20101116000194 |
| Provider Name | Ellen R Mcinerney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176157 PECOS PAC ID: 8527951144 Enrollment ID: I20101122000542 |
| Provider Name | Liaqat Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700857232 PECOS PAC ID: 3577459502 Enrollment ID: I20101208000557 |
| Provider Name | Arnulfo B Bonavente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619973534 PECOS PAC ID: 7517154982 Enrollment ID: I20101210000497 |
| Provider Name | Suela Kaba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730383571 PECOS PAC ID: 1557558814 Enrollment ID: I20101213000428 |
| Provider Name | Addisu M Temesgen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386971927 PECOS PAC ID: 4183812266 Enrollment ID: I20101216000820 |
| Provider Name | Stephanie A Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134425028 PECOS PAC ID: 0042495244 Enrollment ID: I20110504000132 |
| Provider Name | Sadia N Baqai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144556846 PECOS PAC ID: 2961544671 Enrollment ID: I20110622000248 |
| Provider Name | Sameer Tajudden Shaik Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700033883 PECOS PAC ID: 8921270620 Enrollment ID: I20110930000137 |
| Provider Name | Arun Raghunath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821222530 PECOS PAC ID: 6204003700 Enrollment ID: I20120125000042 |
| Provider Name | Rita U Ntosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700153210 PECOS PAC ID: 1759548332 Enrollment ID: I20120209000373 |
| Provider Name | Patricia A Oshodi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558516187 PECOS PAC ID: 9133250624 Enrollment ID: I20120327000057 |
| Provider Name | Carrie A Dana-evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548536675 PECOS PAC ID: 4183887540 Enrollment ID: I20120522000930 |
| Provider Name | Michael J Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710245220 PECOS PAC ID: 9032374814 Enrollment ID: I20120628000405 |
| Provider Name | Jared Muhati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760703185 PECOS PAC ID: 7719003110 Enrollment ID: I20120629000150 |
| Provider Name | Millicent M Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437452760 PECOS PAC ID: 5991981326 Enrollment ID: I20121219000328 |
| Provider Name | Kristen Lynn Gordy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811332307 PECOS PAC ID: 5799912234 Enrollment ID: I20131209000943 |
| Provider Name | Monica Lovins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861732331 PECOS PAC ID: 9739319724 Enrollment ID: I20140314000125 |
| Provider Name | Thomas Masterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649224643 PECOS PAC ID: 1456373802 Enrollment ID: I20140326000433 |
| Provider Name | Elizabeth Raywer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063835239 PECOS PAC ID: 3870725245 Enrollment ID: I20140417001120 |
| Provider Name | Kimberly Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982943551 PECOS PAC ID: 8224261268 Enrollment ID: I20140429000408 |
| Provider Name | Saadia A Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396854584 PECOS PAC ID: 8022019488 Enrollment ID: I20141106001704 |
| Provider Name | Deborah A Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538214382 PECOS PAC ID: 3870692502 Enrollment ID: I20150427001699 |
| Provider Name | Frances E Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285673368 PECOS PAC ID: 6507813359 Enrollment ID: I20150512000460 |
| Provider Name | Amanda Ruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326430414 PECOS PAC ID: 5395065668 Enrollment ID: I20150528000598 |
| Provider Name | Rasaq Abu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578663019 PECOS PAC ID: 0244214625 Enrollment ID: I20151228000133 |
| Provider Name | Nattile Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811374515 PECOS PAC ID: 7810299740 Enrollment ID: I20160108000677 |
| Provider Name | Karen Vancamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003272840 PECOS PAC ID: 3375847155 Enrollment ID: I20160216000232 |
| Provider Name | Shahana Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275591141 PECOS PAC ID: 6800067083 Enrollment ID: I20160705002049 |
| Provider Name | Jazab Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043655186 PECOS PAC ID: 8820232705 Enrollment ID: I20160711001944 |
| Provider Name | Melissa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750730222 PECOS PAC ID: 7618263021 Enrollment ID: I20160912001703 |
| Provider Name | Emily Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451133 PECOS PAC ID: 9335378421 Enrollment ID: I20161227001313 |
| Provider Name | Yusra Azmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659786671 PECOS PAC ID: 1557636529 Enrollment ID: I20171002003491 |
| Provider Name | Kuroush Aligholizadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144734492 PECOS PAC ID: 2860754470 Enrollment ID: I20180320000673 |
| Provider Name | Wondwossen Bekele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205221223 PECOS PAC ID: 8325396005 Enrollment ID: I20180813002418 |
| Provider Name | Carla Schell Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013439561 PECOS PAC ID: 9133493216 Enrollment ID: I20180917000150 |
| Provider Name | Johanna Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801377304 PECOS PAC ID: 2668717380 Enrollment ID: I20181227000169 |
| Provider Name | Ahsan Afzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316263692 PECOS PAC ID: 1052553914 Enrollment ID: I20190221002000 |
| Provider Name | Katherine E Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912464819 PECOS PAC ID: 4486997988 Enrollment ID: I20190524002217 |
| Provider Name | Bibi Aysha Siddhika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720264658 PECOS PAC ID: 9739467226 Enrollment ID: I20190729001365 |
| Provider Name | Kwabena Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602905 PECOS PAC ID: 6305175100 Enrollment ID: I20190904000412 |
| Provider Name | Odette Solange Kemvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952949299 PECOS PAC ID: 1951730928 Enrollment ID: I20200326003819 |
| Provider Name | Belinda Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366067555 PECOS PAC ID: 0244653699 Enrollment ID: I20200702000968 |
| Provider Name | Humaira Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093976177 PECOS PAC ID: 1456485754 Enrollment ID: I20200811002478 |
| Provider Name | Cyriac Nchang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427589878 PECOS PAC ID: 1254750193 Enrollment ID: I20200928000619 |
| Provider Name | Mariechantal Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992944847 PECOS PAC ID: 9335437672 Enrollment ID: I20201015002202 |
| Provider Name | Peris Lango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891343182 PECOS PAC ID: 8123435575 Enrollment ID: I20210331000848 |
| Provider Name | Rebecca Waksmunski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300434 PECOS PAC ID: 4082019146 Enrollment ID: I20210827000772 |
| Provider Name | Holly Nilsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295408581 PECOS PAC ID: 8628475670 Enrollment ID: I20210920000084 |
| Provider Name | Ngum Avwontom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972173904 PECOS PAC ID: 1658778881 Enrollment ID: I20210930000683 |
| Provider Name | Lauren Anne Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295490225 PECOS PAC ID: 3173912961 Enrollment ID: I20211117000670 |
| Provider Name | Ashley Naugler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053075655 PECOS PAC ID: 8123417862 Enrollment ID: I20211117003239 |
| Provider Name | Catheline Odia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942882865 PECOS PAC ID: 6901297159 Enrollment ID: I20211222001456 |
| Provider Name | Erica Allen-winslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659533800 PECOS PAC ID: 7517289671 Enrollment ID: I20220119000232 |
| Provider Name | Bradley Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558762062 PECOS PAC ID: 8426349986 Enrollment ID: I20220322002487 |
| Provider Name | Sabrina Ngong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851854244 PECOS PAC ID: 7012241854 Enrollment ID: I20220525002158 |
| Provider Name | Julie Adeoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821757840 PECOS PAC ID: 8224416664 Enrollment ID: I20220526000409 |
| Provider Name | Cynthia Safo-mensa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164011698 PECOS PAC ID: 6608283601 Enrollment ID: I20221020001635 |
| Provider Name | Susanne Walkford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336432269 PECOS PAC ID: 5496994733 Enrollment ID: I20221130001329 |
| Provider Name | Suzette Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386258929 PECOS PAC ID: 5597135418 Enrollment ID: I20230110000964 |
| Provider Name | Hillary Rosenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740345362 PECOS PAC ID: 0345463550 Enrollment ID: I20230323003152 |
| Provider Name | Shadi Soufi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326250705 PECOS PAC ID: 5991895203 Enrollment ID: I20230629001530 |
| Provider Name | Malcolm Winkle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629574173 PECOS PAC ID: 1658733225 Enrollment ID: I20230814002499 |
| Provider Name | Solange Bih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669736237 PECOS PAC ID: 2365832417 Enrollment ID: I20231007000008 |
| Provider Name | Anita Uche Akewusola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407633274 PECOS PAC ID: 2668821034 Enrollment ID: I20231211001428 |
| Provider Name | Soukeye Niang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881159093 PECOS PAC ID: 6406287358 Enrollment ID: I20240112003296 |
| Provider Name | Lazinia L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881457554 PECOS PAC ID: 9537504915 Enrollment ID: I20240226000073 |
| Provider Name | Mulugeta Gebreegzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366510778 PECOS PAC ID: 3678767001 Enrollment ID: I20240416000231 |
| Provider Name | Musu Komeyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730752486 PECOS PAC ID: 1355702804 Enrollment ID: I20241209001013 |
| Provider Name | Julie Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689469512 PECOS PAC ID: 6305364316 Enrollment ID: I20250514000754 |
Tidalhealth Specialty Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-912-5640 | |
Medstar Medical Group Ii Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Eastern Shore Dr, Salisbury, MD 21804 Phone: 410-543-7300 | |
Peninsula Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Riverside Dr, Suite A 206, Salisbury, MD 21801 Phone: 410-912-5640 Fax: 410-912-5641 | |
Oc Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Dr Ste 14, Salisbury, MD 21801 Phone: 301-801-2551 | |
Tidalhealth Specialty Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Woodbrooke Dr Ste A, Salisbury, MD 21804 Phone: 410-912-6716 | |
Daniel E Makas Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Riverside Dr, Ste 6, Salisbury, MD 21801 Phone: 410-677-3736 Fax: 410-677-0922 | |
Dr. Asma Al-hamid, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Pine Bluff Rd, Suite 12, Salisbury, MD 21801 Phone: 410-543-4301 |