DR. SHIRLEY ANNE VANMILDER (NPI# 1144360587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144360587 |
| Entity Type | Individual |
| Full Name | DR. SHIRLEY ANNE VANMILDER |
| Credential | M.D. |
| Practice Address |
1221 Mercantile Lane Largo MD 20774 |
| Mailing Address |
2101 East Jefferson Street Kaiser Permanente, Ppqa, 6 West Rockville MD 20852 |
| Practice Telephone | 3016185679 |
| Practice Fax Number | 3016185673 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD036422 | DC | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | D64875 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1221 MERCANTILE LANE |
| City | LARGO |
| State | MD |
| Zip Code | 20774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312758 | Idongesit Iheanyichukwu Attang | Family Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2015-03-31 |
| 1699960872 | Cristina Frances Whalen | Pharmacist | 1221 Mercantile Lane, Clinical Pharmacy Department, Largo, MD 20774-0001 | 2007-09-11 |
| 1275664526 | Marie Ann Eason | Radiology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-03-08 |
| 1639219975 | Rhonda A Henry | Optometrist | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1124174875 | Jerry Wendell Mcconnell | Internal Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2007-01-26 |
| 1942359922 | Elaine Ziavras | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2007-01-09 |
| 1811052889 | Helayne Marsha Silver | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-27 |
| 1245390749 | Howard Ian Savage | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| 1154481653 | Sheryl L Clements | Nurse Practitioner | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| 1073673505 | Mark Howard Terris | Otolaryngology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144477415 | Kieu Lashanya Smith | Obstetrics & Gynecology | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2008-08-19 |
| 1902091721 | Tracy S Fansler Md LLC | Obstetrics & Gynecology | 12955 Seminole Blvd, Largo, FL 33778-2399 | 2007-09-14 |
| 1609923135 | Kimberly Shawn Moss | Obstetrics & Gynecology | 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774-5374 | 2007-01-05 |
| 1164580122 | Vera I Ibe | Obstetrics & Gynecology | 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774-5374 | 2006-12-04 |
| 1316005374 | Teresita J Ferrer Estoye | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-04 |
| 1013088830 | Virgil Lee Graham | Obstetrics & Gynecology | 1221 Mercantile Ln, Dept of Obgyn, Largo, MD 20774-5374 | 2006-11-13 |
| 1609803253 | James E. Doran | Obstetrics & Gynecology | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-06-27 |
| 1205811197 | Beth B Benson | Obstetrics & Gynecology | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192825 | Lisa Dale Rarick | Obstetrics & Gynecology | 8195 Windward Key Dr, Chesapeake Beach, MD 20732-3123 | 2020-07-24 |
| 1285272310 | Saul J.e. Weinreb Md LLC | Obstetrics & Gynecology | 9811 Mallard Dr Ste 111, Laurel, MD 20708-3180 | 2019-12-19 |
| 1053953869 | Jill Schwartz | Obstetrics & Gynecology | 4704 Clyde Avenue, Garrett Park, MD 20896 | 2019-10-14 |
| 1598250250 | Healthcare Innovations LLC | Obstetrics & Gynecology | 2227 Old Emmorton Rd Ste 121, Bel Air, MD 21015-6190 | 2018-06-26 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1194222620 | Shady Grove Surgery Center LLC | Obstetrics & Gynecology | 2403 Research Blvd Ste 200, Rockville, MD 20850-6289 | 2018-04-11 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1740789650 | Anne Arundel Physician's Group, LLC | Obstetrics & Gynecology | 100 Bramble St Ste E&f, Cambridge, MD 21613-2471 | 2018-02-06 |
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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.