JACQUELINE DURST (NPI# 1003203068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003203068 |
Entity Type | Individual |
Full Name | JACQUELINE DURST |
Credential | ATC, LAT |
Practice Address |
101 Braddock Rd Frostburg State University Kinesiology Department Frostburg MD 21532-2303 |
Mailing Address |
27 Frost Ave Frostburg MD 21532-1623 |
Practice Telephone | 3016972801 |
Mailing Telephone | 3016972801 |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
A00192 | MD | Allopathic & Osteopathic Physicians |
Street Address |
101 BRADDOCK RD FROSTBURG STATE UNIVERSITY KINESIOLOGY DEPARTMENT |
City | FROSTBURG |
State | MD |
Zip Code | 21532-2303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649264094 | Anthony J Zaloga | Specialist/Technologist | 101 Braddock Rd, Frostburg State University, Frostburg, MD 21532-2303 | 2005-08-31 |
1174136485 | Keyonna Mone Biggs | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-26 |
1588276299 | Brooke Lafayette | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1902418627 | Jenneh Musu Kanu | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1548872260 | Sylvia Ann Watson | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1457963175 | Clayton Antonio Washington | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1629680343 | Katherine D Treff | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1447862164 | Daniel Jacob Bittinger | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1659983369 | Makayla Parris | Specialist/Technologist | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
1558973263 | Nache A King | Student in an Organized Health Care Education/Training Program | 101 Braddock Rd, Frostburg, MD 21532-2303 | 2020-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740709732 | Kennedy Alxya Logsdon | Specialist/Technologist | 100 Dr. Gasmick Lane, Frostburg, MD 21532 | 2017-09-12 |
1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
1922647486 | Axis Health At Frostburg Opco LLC | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1242 | 2020-01-02 |
Find all providers in zip 21532 |
Taxonomy Code | 207PS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Sports Medicine |
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053760256 | Christine Safrit | Emergency Medicine | 222 Newport Dr, Severna Park, MD 21146-1326 | 2016-06-08 |
1639528839 | Rachel Shanks | Emergency Medicine | 911 Crystal Spring Farm Rd, Annapolis, MD 21403-1001 | 2016-06-08 |
1417426867 | Kelsey Ayne Boulier | Emergency Medicine | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2018-11-15 |
1063993889 | Bailey E Lewis | Emergency Medicine | 566 Brownson Rd, Annapolis, MD 21402-5006 | 2018-08-29 |
1134380702 | Edward Joseph Kimlin | Emergency Medicine | 11915 Georgia Ave, Wheaton, MD 20902-2065 | 2008-06-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.