WESTERN MARYLAND HEALTH SYSTEM CORPORATION


Address: 12502 Willowbrook Rd, Suite 300, Cumberland, MD 21502-6491
Phone: 2409648342

WESTERN MARYLAND HEALTH SYSTEM CORPORATION (NPI# 1033542279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033542279
Entity Type Organization
Organization Name WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Other Organization Name DIABETIC OUTPATIENT COUNSELING
Practice Address 12502 Willowbrook Rd
Suite 300
Cumberland
MD 21502-6491
Mailing Address 12500 Willowbrook Rd
3rd Floor, Business Office
Cumberland
MD 21502-6393
Practice Telephone 2409648342
Practice Fax Number 2409648337
Mailing Telephone 2409648342
Mailing Fax Number 2409648337
Enumeration Date 2013-08-12
Last Update Date 2013-08-12
Authorized Official Name KIMBERLY S REPAC (SR. VP/CFO)
Authorized Official Telephone 2409648342
Is Organization Subpart Y
Parent Organization Name WESTERN MARYLAND HEALTH SYSTEM CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 01-007 MD Dietary & Nutritional Service Providers

Other Provider/Organization Names

Other Name Type Code
Diabetic Outpatient Counseling Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265499016 Western Maryland Health System Corporation Skilled Nursing Facility 48 Tarn Ter, Frostburg, MD 21532-1217 2006-04-26
1891925814 Western Maryland Health System Corporation Clinic/Center 12500 Willowbrook Rd, Cumberland, MD 21502-6393 2009-07-24
1306092531 Western Maryland Health System Corporation Clinic/Center 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6393 2008-08-07
1952516296 Western Maryland Health System Corporation Hospice Care, Community Based 1050 W Industrial Blvd, Cumberland, MD 21502-4331 2007-05-11
1477632990 Western Maryland Health System Corporation Internal Medicine 12500 Willowbrook Rd, Cumberland, MD 21502-6393 2006-11-03
1346341716 Western Maryland Health System Corporation Emergency Medicine 45 Hunt Club Dr, Ridgeley, WV 26753-7567 2006-09-26

Office Location

Street Address 12502 WILLOWBROOK RD
SUITE 300
City CUMBERLAND
State MD
Zip Code 21502-6491

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689677908 Jose T Loveria Internal Medicine 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2005-05-31
1215536008 Jade Hensinger Physician Assistant 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2020-10-22
1528688454 Isaac Quinn Ducharme Physician Assistant 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2020-04-21
1801351978 Anne P Nguyen Physician Assistant 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2019-02-04
1750867362 Krystal Abucevicz-swick Nurse Practitioner 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2018-07-17
1194212688 Taylor E Douthitt Counselor 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2018-04-19
1881196681 Tammy Collette Nurse Practitioner 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2018-03-07
1487161501 Allison Mckenna Rich Dietitian, Registered 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2018-01-10
1396273520 Sheena Marie Willison Buskirk Family Medicine 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2017-06-01
1114451374 Ann Beeman Social Worker 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 2017-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141592 Upmc Western Maryland Corporation Clinic/Center 10700 Leslie Lane, Cumberland, MD 21502 2020-07-13
1669934212 Ultimate Hearing Solutions Vi, LLC Durable Medical Equipment & Medical Supplies 701 Park Street, Queen City Centre, Cumberland, MD 21502 2019-04-03
1114497070 Dianne Liller Speech-Language Pathologist 200 Massachusetts Ave, Cumberland, MD 21502 2018-12-04
1386111409 Rebecca Anne Stewart Counselor 217 Glenn Street, Suite 401, Cumberland, MD 21502 2018-10-26
1396222998 Crystal Lynne Walls Nurse Practitioner Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 2018-07-26
1841796554 Joan Kathleen Hoban Speech-Language Pathologist Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 2018-04-02
1760984447 Christine T. Haines Social Worker 907 Seton Drive, Cumberland, MD 21502 2018-03-08
1033632328 Nicole Mabury Counselor 12501 Willowbrook Road, Cumberland, MD 21502 2017-07-19
1073042479 The Lions Center for Rehabilitation and Extended Care, Inc. Skilled Nursing Facility 901 Seton Drive, Cumberland, MD 21502 2017-06-08
1912446816 Marina Hurst Counselor 10102 County Club Road Se, Cumberland, MD 21502 2017-02-13
Find all providers in zip 21502

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174148571 Bethany Hines Dietitian, Registered 12501 Willowbrook Rd Fl 2, Cumberland, MD 21502-2506 2020-06-11
1477018430 Kim David Dietitian, Registered 13 Buds Trl, Cumberland, ME 04021-3162 2019-02-04
1952881468 Lindsey Newman Dietitian, Registered 240 Highland Corporate Dr Apt 401, Cumberland, RI 02864-8731 2018-08-15
1467871731 Jennifer Anderson Dietitian, Registered 1 Grundys Way, Cumberland, RI 02864-6035 2014-04-15
1922358431 Kay L Leigh Dietitian, Registered 11505 Valley Road, Ne, Cumberland, MD 21502 2012-09-12
1205122421 Allison Lutz Dietitian, Registered 12502 Willowbrook Rd Ste 300, Cumberland, MD 21502-6498 2011-06-27
1457427353 Courtney B Huard Dietitian, Registered 655 Mendon Rd Ste 2c, Cumberland, RI 02864-6222 2006-11-24
1023094034 Rebecca N. Schneider Dietitian, Registered 915 Bishop Walsh Rd, Cumberland, MD 21502-1805 2005-12-21
1487161501 Allison Mckenna Rich Dietitian, Registered 12502 Willowbrook Rd, Cumberland, MD 21502-6491 2018-01-10
1568835635 Emily Marie Valko Dietitian, Registered 12500 Willowbrook Rd, Cumberland, MD 21502-6393 2015-11-11
Find all providers in CUMBERLAND

Competitor

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City CUMBERLAND
Zip Code 21502

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Dataset Information

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.

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