MARK ROSENBLUM (NPI# 1003809310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003809310 |
| Entity Type | Individual |
| Full Name | MARK ROSENBLUM |
| Credential | MD |
| Practice Address |
6410 Rockledge Dr Ste 503 Bethesda MD 20817-7822 |
| Mailing Address |
25 Crossroads Dr Ste 306 Owings Mills MD 21117-5437 |
| Practice Telephone | 3015301700 |
| Mailing Telephone | (443) 738-2872 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | MD035492 | DC | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | D0063348 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 872104100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578587861 | Mark Lawrence Rosenblum | Psychologist | 3001 Greeenbay Road, North Chicago, IL 60064 | 2006-07-27 |
| 1548728678 | Mark Aaron Rosenblum | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-03-07 |
| 1124193867 | Mark L. Rosenblum | Neurological Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-21 |
| Street Address |
6410 ROCKLEDGE DR STE 503 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392513 | Anju Liz Johnson | Nurse Practitioner | 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 | 2018-10-23 |
| 1114346004 | Devang Sharma | Urology | 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 | 2014-04-08 |
| 1003041765 | Kathleen Ashford Sterling | Urology | 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
| 1205270667 | Sandeep Gurram | Urology | 10 Center Drive Building 10 Room 1-5940w, Bethesda, MD 20892-8424 | 2013-04-28 |
| 1275783375 | Mark Wayne Ball | Urology | 10 Center Drive Rm 2-5942, Bethesda, MD 20892-0005 | 2008-09-25 |
| 1841413275 | David James Osborn | Urology | 8930 Brown Dr, Bethesda, MD 20889-5629 | 2007-04-11 |
| 1588725071 | Peter Anthony Pinto | Urology | 10 Center Dr Msc 1210, Building 10, Crc, Room 1w-5940, Uob,nci, Nih, Bethesda, MD 20892-0001 | 2006-12-12 |
| 1700310273 | Zhao Li | Urology | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-12 |
| 1194103861 | Michael Daneshvar | Urology | Nih Clinical Center, 10 Center Dr., Bethesda, MD 20814 | 2015-05-13 |
| 1386031425 | Bradley Roy Webster | Urology | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2015-04-15 |
| 1114346004 | Devang Sharma | Urology | 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 | 2014-04-08 |
| 1770908717 | Justin Mygatt | Urology | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2014-02-27 |
| Find all providers in BETHESDA | ||||
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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.