| Integrated Wound Care Maryland Llc | |
|
85 Hospital Rd Prince Frederick MD 20678-4018 | |
| (201) 870-1194 | |
| Not Available |
| Full Name | Integrated Wound Care Maryland Llc |
|---|---|
| Speciality | General Practice |
| Location | 85 Hospital Rd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Diane Lusas (MEMBER) |
| Authorized Official Contact | 7324514318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Maryland Llc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Maryland Llc 85 Hospital Rd Prince Frederick MD 20678-4018 Ph: (201) 870-1194 |
| NPI Number | 1154963056 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 4880026822 |
|---|---|
| Medicare Enrollment ID | O20191113002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154963056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Kathryn S Loschiavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225182652 PECOS PAC ID: 9931295722 Enrollment ID: I20071009000749 |
| Provider Name | Patricia G Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396941696 PECOS PAC ID: 9537330550 Enrollment ID: I20110923000519 |
| Provider Name | Marina Borodkina |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578724670 PECOS PAC ID: 1254515836 Enrollment ID: I20120731000161 |
| Provider Name | Feremusu Nadia Kamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154319119 PECOS PAC ID: 6901836089 Enrollment ID: I20130619000335 |
| Provider Name | Abiola O Obatuase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086813 PECOS PAC ID: 7012261415 Enrollment ID: I20181126000149 |
| Provider Name | Emilie Pozoulakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346727492 PECOS PAC ID: 8628312386 Enrollment ID: I20181206001191 |
| Provider Name | Nana Yaa Agyemang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225524796 PECOS PAC ID: 9335490614 Enrollment ID: I20190204002208 |
| Provider Name | Erin Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194378760 PECOS PAC ID: 2365877206 Enrollment ID: I20200122002585 |
| Provider Name | Angela U Tabugbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194392548 PECOS PAC ID: 7214330737 Enrollment ID: I20210721002820 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20211228001465 |
| Provider Name | Jerome Cabalhin Lastimosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588316798 PECOS PAC ID: 7315330180 Enrollment ID: I20220201000019 |
| Provider Name | Margaret Adeyeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932869690 PECOS PAC ID: 8224416771 Enrollment ID: I20220822001040 |
| Provider Name | Rosilin Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275112153 PECOS PAC ID: 9537543525 Enrollment ID: I20220824002745 |
| Provider Name | Pamala Kanhai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780137877 PECOS PAC ID: 4284019803 Enrollment ID: I20220922003262 |
| Provider Name | Mark Vincent Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437783388 PECOS PAC ID: 1850708041 Enrollment ID: I20221107000937 |
| Provider Name | Ashley Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750836979 PECOS PAC ID: 9234417338 Enrollment ID: I20221115000257 |
| Provider Name | Joan Maldonado-resto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689157430 PECOS PAC ID: 4789053059 Enrollment ID: I20221208000118 |
| Provider Name | Arin Longfellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972055085 PECOS PAC ID: 9931482395 Enrollment ID: I20221229000234 |
| Provider Name | Shelby Elizabeth Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972295418 PECOS PAC ID: 0547628166 Enrollment ID: I20230614000652 |
| Provider Name | Darien Keeling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639757727 PECOS PAC ID: 5193188225 Enrollment ID: I20230823000030 |
| Provider Name | Brittany C Oldland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194404749 PECOS PAC ID: 9638527625 Enrollment ID: I20231201000923 |
| Provider Name | Laura Chioma Nwokeafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184278947 PECOS PAC ID: 2860826047 Enrollment ID: I20240917004706 |
| Provider Name | King Pascual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033853270 PECOS PAC ID: 7315480365 Enrollment ID: I20240928000203 |
| Provider Name | Yvette Conyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649425257 PECOS PAC ID: 5092077099 Enrollment ID: I20241014003596 |
| Provider Name | Sara Osei-bonsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265201289 PECOS PAC ID: 5395189435 Enrollment ID: I20241104000729 |
Shah Associates Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 303, Calvert Medical Center, Prince Frederick, MD 20678 Phone: 410-535-4333 Fax: 410-535-0495 | |
John P Hakim Md & Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 W Dares Beach Rd, Suite 101, Prince Frederick, MD 20678 Phone: 443-880-5146 Fax: 301-856-5454 | |
Calvert Family Practice Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678 Phone: 410-535-4488 Fax: 410-535-6131 | |
Bhargesh P. Mehta, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Prince Frederick Blvd, Suite 101, Prince Frederick, MD 20678 Phone: 410-535-5555 Fax: 410-535-5599 | |
Calvert Internal Medicine Group Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4761 | |
Maryland Family Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd, Prince Frederick, MD 20678 Phone: 410-332-9000 |