WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE (NPI# 1134261217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134261217 |
| Entity Type | Organization |
| Organization Name | WALLACE BRUCE OBENSHAIN CECILTON FAMILY PRACTICE |
| Practice Address |
251 Bohemia Ave Cecilton MD 21913 |
| Mailing Address |
Po Box 190 Elkton MD 21922-0190 |
| Practice Telephone | 4102758157 |
| Mailing Telephone | 4103984679 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | LISA FIELDS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4103984679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0035779 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
251 BOHEMIA AVE |
| City | CECILTON |
| State | MD |
| Zip Code | 21913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047154 | Paul M Katz | Family Medicine | 251 Bohemia Ave, Cecilton, MD 21913-0000 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972717833 | Eric Allen Vanvenrooy | Dentist | 251 S. Bohemia Avenue, Cecilton, MD 21913 | 2007-05-10 |
| 1427072503 | Paul Katz, D.o. | Family Medicine | 251 Bohemia Avenue, Cecilton, MD 21913 | 2006-07-26 |
| 1265532048 | Physiotherapy Associates - Union Rehab LLC | Clinic/Center | 251 South Bohemia Ave, Cecilton, MD 21913-0335 | 2006-09-22 |
| 1861616179 | Davis Taylor Short | Social Worker | 143 N Bohemia Ave., Cecilton, MD 21913-0488 | 2007-04-11 |
| 1457427296 | Joseph David Cohn Jr. | Dentist | 121 South Bohemia Avenue, Cecilton, MD 21913-0489 | 2006-11-24 |
| 1568410603 | Wallace Obenshain | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-0670 | 2006-05-04 |
| 1992784524 | Cecilton Volunteer Fire Co Inc | Ambulance | 110 E Main St, Cecilton, MD 21913-1001 | 2006-01-12 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 1760093009 | Chesapeake Wellness Center | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2020-08-11 |
| 1083165880 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-18 |
| Find all providers in zip 21913 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427072503 | Paul Katz, D.o. | Family Medicine | 251 Bohemia Avenue, Cecilton, MD 21913 | 2006-07-26 |
| 1568410603 | Wallace Obenshain | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-0670 | 2006-05-04 |
| 1629047154 | Paul M Katz | Family Medicine | 251 Bohemia Ave, Cecilton, MD 21913-0000 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| 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.