KIM S. ENDRES


Address: 2002 Medical Pkwy Ste 430, Annapolis, MD 21401-3263
Phone: 4105712946

KIM S. ENDRES (NPI# 1184602724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184602724
Entity Type Individual
Full Name KIM S. ENDRES
Credential PA-C
Practice Address 2002 Medical Pkwy Ste 430
Annapolis
MD 21401-3263
Practice Telephone 4105712946
Mailing Telephone 4102662700
Mailing Fax Number 4102691149
Enumeration Date 2006-01-04
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 777284000 05

Office Location

Street Address 2002 MEDICAL PKWY STE 430
City ANNAPOLIS
State MD
Zip Code 21401-3263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851888200 Advanced Pain Management Specialists, LLC Pain Medicine 2002 Medical Pkwy Ste 430, Annapolis, MD 21401-3263 2018-04-20
1790171296 Oluwatoyin Mary Adekeye Nurse Practitioner 2002 Medical Pkwy Ste 430, Annapolis, MD 21401-3263 2015-04-10

Providers in the same zip code

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
Find all providers in zip 21401

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689140436 Rachel M Ostrow Physician Assistant 527 Lee Cir, Annapolis, MD 21403-4012 2018-10-19
1285100446 Georgia L Harper Physician Assistant 201 Defense Hwy Ste 205, Annapolis, MD 21401-7096 2018-10-15
1316422561 Colin Patrick Rainey Physician Assistant 122 Defense Hwy Ste 210, Annapolis, MD 21401-7071 2018-10-03
1679977078 Caroline Jill Buehler Physician Assistant 2002 Medical Parkway,, Annapolis Dermatology Associates, Suite 630, Annapolis, MD 21401 2014-10-14
1447682828 Janette Marie Roderick Sauter Physician Assistant 166 Defense Hwy Ste 302, Annapolis, MD 21401-8926 2013-08-07
1184809998 Ann Marie Lawson Physician Assistant 703 Giddings Ave., Suite M, Annapolis, MD 21401-1437 2007-12-31
1619194701 Marie Darcy Goodman Physician Assistant 193 Green Street, Annapolis, MD 21401 2007-04-19
1407805393 Suzanne Shelling Physician Assistant 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 2006-05-08
1740275148 Maureen L O'brien Physician Assistant 2000 Medical Parkway, Suite 200, Annapolis, MD 21401-3744 2005-09-13
1922618933 Ava Midori Christensen Physician Assistant 695 Kinkaid Rd, Annapolis, MD 21402-1006 2020-08-04
Find all providers in ANNAPOLIS

Competitor

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City ANNAPOLIS
Zip Code 21401

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Dataset Information

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.

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