JUSTIN RICHARD WAITE (NPI# 1003203845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003203845 |
| Entity Type | Individual |
| Full Name | JUSTIN RICHARD WAITE |
| Practice Address |
5900 Cedar Ln Columbia MD 21044-3635 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 4437184067 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0005749 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5900 CEDAR LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376519322 | Edmund Conrad Tortolani | Specialist | 5900 Cedar Ln, Johns Hopkins @ Cedar Lane, Columbia, MD 21044-3635 | 2006-02-28 |
| 1730626490 | Sumara Imtiaz Choudhry | Physician Assistant | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2017-01-19 |
| 1295287753 | Anu Olayinka Willingham-mclain | Physician Assistant | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2016-11-01 |
| 1497126502 | Jacqueline Renee Schnell | Physician Assistant | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2015-10-14 |
| 1700291689 | Eun A Kim | Pediatrics | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2014-06-30 |
| 1366794166 | Jeffrey Tayag Marucut | Physician Assistant | 5900 Cedar Ln, Columbia, MD 21044 | 2012-10-04 |
| 1659659555 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2011-07-26 |
| 1366735516 | Patient First Maryland Medical Group Pllc | Family Medicine | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2011-05-20 |
| 1184898488 | Antonio Aguilar | Physician Assistant | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2008-04-17 |
| 1588856132 | Everette Darr Lafon Jr. | Emergency Medicine | 5900 Cedar Ln, Columbia, MD 21044-3635 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1770073587 | Ashton Marie Roberts | Physician Assistant | 1 Hospital Dr # Dc077.00, Columbia, MO 65212-1000 | 2018-05-16 |
| 1780814251 | Jorge E Parra | Physician Assistant | 7253 Procopio Cir, Columbia, MD 21046-1645 | 2009-07-19 |
| 1760584981 | Coleman S Fravel | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2006-09-01 |
| 1518935543 | Edwin Lionel Schmidt Jr. | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-08 |
| 1659360691 | Christina S Harman | Physician Assistant | 2 Office Park Ct Ste 103, Columbia, SC 29223 | 2005-10-20 |
| 1528666328 | Dustin Lee Dunn | Physician Assistant | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-10-14 |
| 1134767320 | Emily Christine Beck | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2019-12-18 |
| 1518522077 | Sarah Partin | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-05-09 |
| 1629436050 | Jessica F Bailey | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2016-01-30 |
| Find all providers in COLUMBIA | ||||
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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.