DR. EDWIN SHADZEKA (NPI# 1124213459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124213459 |
| Entity Type | Individual |
| Full Name | DR. EDWIN SHADZEKA |
| Credential | MD |
| Practice Address |
4314 Rustling Leaves Ter Bowie MD 20716-3608 |
| Practice Telephone | 3018062461 |
| Mailing Telephone | 3018062461 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2016-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD432750 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101998675 | 05 |
| Street Address |
4314 RUSTLING LEAVES TER |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1275083511 | Silver Spring Medical Group LLC | Internal Medicine | 6915 Laurel Bowie Rd Ste 101, Bowie, MD 20715-1715 | 2016-10-11 |
| 1952689838 | Nisha Nasir Qureshi | Internal Medicine | 13200 Anthem Greenfields Dr, Bowie, MD 20720-6330 | 2011-07-27 |
| 1649594623 | Rachna Arora | Internal Medicine | 14300 Gallant Fox Ln Ste 222, Bowie, MD 20715-4033 | 2010-03-20 |
| 1205011640 | Bowie Primary Care, Inc | Internal Medicine | 4379 Northview Drive, Bowie, MD 20716 | 2008-01-03 |
| 1164546321 | Howard Cook | Internal Medicine | 15107 Roving Wood Dr, Bowie, MD 20715-3373 | 2007-03-16 |
| 1558423822 | Lakeside Medical Group-dr. Raj Chawla P.C. | Internal Medicine | 14300 Gallant Fox Ln Ste 210, Bowie, MD 20715-4033 | 2006-12-14 |
| 1003912742 | Mariam Mcconnell Bahrami | Internal Medicine | 4379 Northview Dr, Bowie, MD 20716-2603 | 2006-09-16 |
| 1659488617 | Dpinder Singh | Internal Medicine | 14300 Gallant Fox Ln Ste 124, Bowie, MD 20715-4031 | 2006-08-24 |
| 1063453074 | Sobhan A Mathew | Internal Medicine | 3048 Mitchellville Rd, Bowie, MD 20716-1388 | 2006-06-09 |
| Find all providers in BOWIE | ||||
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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.