| Trident Medical Group Pa | |
|
10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 | |
| (855) 770-7771 | |
| (415) 808-6405 |
| Full Name | Trident Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10440 Little Patuxent Pkwy Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Devion Smith (DIRECTOR, PAYER CONTRACTING) |
| Authorized Official Contact | 4243268711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Medical Group Pa 382 Ne 191st St Miami FL 33179-3899 Ph: (310) 626-0149 | Trident Medical Group Pa 10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 Ph: (855) 770-7771 |
| NPI Number | 1083368831 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 11/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083368831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 213EP0504X | Podiatrist - Public Medicine | (* (Not Available)) | Secondary |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
Evergreen Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046 Phone: 301-575-8080 | |
Patient Care Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9650 Santiago Rd, Suite #110, Columbia, MD 21045 Phone: 410-992-7004 Fax: 410-992-1657 | |
First Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8600 Snowden River Pkwy Ste 207, Columbia, MD 21045 Phone: 301-515-2901 | |
Dr Beams Medical Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10794 Hickory Ridge Rd, Columbia, MD 21044 Phone: 443-832-9260 |