BETHLEHEM SISAY (NPI# 1033427240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033427240 |
| Entity Type | Individual |
| Full Name | BETHLEHEM SISAY |
| Credential | PA |
| Practice Address |
8118 Good Luck Rd Lanham MD 20706-3574 |
| Mailing Address |
2024 Georgia Ave Nw Washington DC 20001-3027 |
| Practice Telephone | 3015528013 |
| Mailing Telephone | (202) 595-3223 |
| Mailing Fax Number | 2023320028 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA030680 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2041 Georgia Ave Nw, Washington, DC 200600001 | 2028651121 | 2028654492 |
| Street Address |
8118 GOOD LUCK RD |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149632 | Moustafa S Shamma | Emergency Medicine | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2005-07-28 |
| 1366040529 | Katrina Frederika Borden | Nurse Anesthetist, Certified Registered | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-10-11 |
| 1972121812 | Tinuke Akinade | Registered Nurse | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-07-08 |
| 1629606561 | Karen Denise Bowie | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-03-27 |
| 1649805540 | Barbara Andrade | Physical Therapist | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-03-11 |
| 1487299673 | Saffie Bangura | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-11-11 |
| 1922640408 | Yvette Gomez | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-10-16 |
| 1578105326 | Asong Benanzea-fontem | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-10-14 |
| 1548818891 | Paradigm Staffing LLC | Specialist/Technologist, Other | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-08-29 |
| 1184183337 | Judith Lee | Nurse Anesthetist, Certified Registered | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164899084 | Marlene L Adore-lewis | Physician Assistant | 7404 Executive Pl Ste 300b, 300b, Lanham, MD 20706-6215 | 2015-08-26 |
| 1619113347 | Stephanie R Chisley | Physician Assistant | 9311 Annapolis Rd, Lanham, MD 20706-3103 | 2008-12-30 |
| 1811449143 | Rachel Yj Ko | Physician Assistant | 8116 Good Luck Rd Ste 305, Lanham, MD 20706-3508 | 2016-11-03 |
| 1649665209 | Dana Sharifi | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2015-03-31 |
| 1174921142 | Debreaka Posey | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2014-12-08 |
| 1669878807 | Zheng Chen | Physician Assistant | 8118 Good Luck Road, Lanham, MD 20706-3574 | 2014-11-17 |
| 1891198149 | Desalegn Abraham | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2014-10-01 |
| 1073856969 | Zuriashwork T Damtew | Physician Assistant | 8118 Good Luck Rd, Doctors Community Medical Group LLC, Lanham, MD 20706-3574 | 2013-03-29 |
| 1376899351 | Theresa Lynn Wilson | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2012-07-27 |
| 1154615938 | Patricia Abernathy-clark | Physician Assistant | 7404 Executive Pl, 502, Lanham, MD 20706-2268 | 2011-06-08 |
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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.