CHESAPEAKE EMS OF MARYLAND INC. (NPI# 1083132682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083132682 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE EMS OF MARYLAND INC. |
| Practice Address |
3219 Ady Rd. Street MD 21154 |
| Mailing Address |
6903 S. Sentinel Ln York PA 17403 |
| Practice Telephone | 4432528005 |
| Mailing Telephone | 4436175533 |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2017-09-03 |
| Authorized Official Name | MR. BRANDON MARK RUBLE (PRESIDENT) |
| Authorized Official Telephone | 4436175533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHESAPEAKE EMS OF MARYLAND INC | 1200 Brass Mill Rd Suite B, Belcamp, MD 21017-1219 |
| Street Address |
3219 ADY RD. |
| City | STREET |
| State | MD |
| Zip Code | 21154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518256312 | Complete Mobile Diagnostics LLC | Specialist/Technologist, Other | 3309 Deer Hill Rd, Street, MD 21154 | 2011-04-01 |
| 1609099654 | Shana Janine Mislak | Counselor | 801 Chance Ct, Street, MD 21154 | 2007-04-10 |
| 1184939472 | Clarence Edwin Becraft Jr. | Radiology | 2304 Rock Hill Ct, Street, MD 21154-1027 | 2010-08-11 |
| 1922042522 | Peter Johnson | Physician Assistant | 1009 Woodshire Ln, Street, MD 21154-1115 | 2006-06-15 |
| 1215328364 | Morgan Harkins | Counselor | 3419 Thomas Bridge Rd, Street, MD 21154-1617 | 2015-02-11 |
| 1922144203 | Edward Leo Mislak | Counselor | 801 Chance Ct, Street, MD 21154-1648 | 2007-01-30 |
| 1154667988 | Edward L. Mislak, LLC | Social Worker | 801 Chance Ct, Street, MD 21154-1648 | 2012-12-26 |
| 1336475524 | Harford County Counseling Services, LLC. | Community/Behavioral Health | 801 Chance Ct, Street, MD 21154-1648 | 2009-10-23 |
| 1801021985 | Mary Beth Creighton | Occupational Therapist | 811 Saint Anne Dr, Street, MD 21154-1654 | 2009-05-19 |
| 1992261846 | Dana Lynn Reaves | Social Worker | 2700 Wilson Rd, Street, MD 21154-1711 | 2019-02-15 |
| Find all providers in zip 21154 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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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.