THERON O'HALLORAN (NPI# 1093344145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093344145 |
| Entity Type | Individual |
| Full Name | THERON O'HALLORAN |
| Credential | MD |
| Practice Address |
2001 Medical Parkway Annapolis MD 21401 |
| Practice Telephone | 4434811091 |
| Practice Fax Number | 4439242727 |
| Mailing Telephone | 4434811091 |
| Mailing Fax Number | 4439242727 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2001 MEDICAL PARKWAY |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710535 | Steven L Quigley | Surgery | 2001 Medical Parkway, Annapolis, MD 21401-3280 | 2005-06-20 |
| 1043830870 | Morgan Leigh Birrell | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Academic Affairs, Annapolis, MD 21401 | 2020-04-22 |
| 1083233696 | Trevor Francis Dorey | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Academic Affairs, Annapolis, MD 21401 | 2020-04-14 |
| 1477023059 | Lois Su-anne Low | Specialist/Technologist, Other | 2001 Medical Parkway, Annapolis, MD 21401 | 2018-11-27 |
| 1194239046 | Margaret Faust Gallegos | Genetic Counselor, MS | 2001 Medical Parkway, Donner Pavilion, Annapolis, MD 21401 | 2017-11-29 |
| 1609311208 | Steven Zebron | Specialist/Technologist, Other | 2001 Medical Parkway, Annapolis, MD 21401 | 2017-01-05 |
| 1194184515 | Annapolis Regional Pathology Services, LLC | Pathology | 2001 Medical Parkway, Attn: Dr. Sanford Robbins Dept. of Pathology, Annapolis, MD 21401 | 2016-02-12 |
| 1578983540 | Matthew Bryant Kuehn | Emergency Medicine | 2001 Medical Parkway, Annapolis, MD 21401-3280 | 2014-04-17 |
| 1790044220 | Gina Ambrose | Emergency Medicine | 2001 Medical Parkway, Anne Arundel Medical Center, Annapolis, MD 21401 | 2012-05-03 |
| 1235443771 | Tanuja G. Kulasinghe | Internal Medicine | 2001 Medical Parkway, Annapolis, MD 21401-3280 | 2010-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1699307074 | Samantha Souhrada | Student in an Organized Health Care Education/Training Program | 979 Dogwood Tree Dr, Annapolis, MD 21409-5143 | 2020-02-04 |
| 1104276716 | Kevin Iskandar | Student in an Organized Health Care Education/Training Program | 1903 Towne Centre Blvd, Unit 332, Annapolis, MD 21401-3179 | 2016-06-14 |
| 1013274919 | Arthi Venkat | Student in an Organized Health Care Education/Training Program | 2002 Medical Pkwy Ste 450, Annapolis, MD 21401-3263 | 2012-04-16 |
| 1518134535 | Kristi Lyn Scherweit | Student in an Organized Health Care Education/Training Program | 802 Bestgate Rd, Annapolis, MD 21401-3016 | 2008-05-08 |
| 1649890484 | Rebecca Scarlett Allen | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-22 |
| 1043830870 | Morgan Leigh Birrell | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Academic Affairs, Annapolis, MD 21401 | 2020-04-22 |
| 1083233696 | Trevor Francis Dorey | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Academic Affairs, Annapolis, MD 21401 | 2020-04-14 |
| 1003435157 | Caroline Elizabeth Thomas | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-09 |
| 1275162604 | Nirmala Kammar Manjappachar | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
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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.