MIN-OBGYN OF MARYLAND PC (NPI# 1205324225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205324225 |
| Entity Type | Organization |
| Organization Name | MIN-OBGYN OF MARYLAND PC |
| Practice Address |
10401 Hospital Drive Suite 103 Clinton MD 20735 |
| Mailing Address |
10401 Hospital Dr Ste 103 Clinton MD 20735-3150 |
| Practice Telephone | 3018560334 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | DR. EBENEZER NETTEY (CEO/MD) |
| Authorized Official Telephone | 3018560334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BLUE CROSS | 94080002 | 01 |
| Street Address |
10401 HOSPITAL DRIVE SUITE 103 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427091412 | Guy W. Gargour, M.d., P.a. | Neurological Surgery | 10401 Hospital Drive, Suite 101, Clinton, MD 20735-3150 | 2006-06-14 |
| 1316090855 | Ebenezer Nettey | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2007-01-19 |
| 1841351772 | Francis De Graft Dickson | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2006-12-13 |
| 1497790398 | Medstar Southern Maryland Physicians, LLC | Otolaryngology | 10401 Hospital Drive, Suite G-4, Clinton, MD 20735-3134 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134198526 | Jo Ann N Bolli | Obstetrics & Gynecology | 308 S Washington St, Clinton, KY 42031-1340 | 2006-03-16 |
| 1659835684 | Rosemond Dickson Bartels, Crnp, LLC | Obstetrics & Gynecology | 9131 Piscataway Rd, Clinton, MD 20735-2508 | 2019-01-23 |
| 1760706154 | Sampson Regional Professional Services LLC | Obstetrics & Gynecology | 603 Beaman St, Suite 501, Clinton, NC 28328-2650 | 2010-03-15 |
| 1235269234 | Gene Whang | Obstetrics & Gynecology | 40 Pittstown Rd, Clinton, NJ 08809-1209 | 2007-03-07 |
| 1316090855 | Ebenezer Nettey | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2007-01-19 |
| 1841351772 | Francis De Graft Dickson | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356981492 | Affiliated Reproductive Health Clinics Inc | Obstetrics & Gynecology | 10401 Old Georgetown Rd Ste 208, Bethesda, MD 20814-1911 | 2020-01-07 |
| 1588161269 | Advanced Menstrual Care Center LLC | Obstetrics & Gynecology | 8601 La Salle Rd Ste 104, Towson, MD 21286-2005 | 2018-04-10 |
| 1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
| 1407218480 | Nancy P Youssefi | Obstetrics & Gynecology | 7350 Van Dusen Rd Ste B20, Laurel, MD 20707-5239 | 2016-03-28 |
| 1992174221 | Elite Surgical Services, LLC | Obstetrics & Gynecology | 10518 Tanager Ln, Potomac, MD 20854-6315 | 2015-09-16 |
| 1902298953 | Lisa G Rubin, Md., LLC | Obstetrics & Gynecology | 1122 Kenilworth Dr Ste 401, Towson, MD 21204-2147 | 2015-02-27 |
| 1114269750 | Ann Peters | Obstetrics & Gynecology | 7600 Osler Dr Ste 200, Baltimore, MD 21204 | 2013-03-21 |
| 1598025009 | Kristina Torrence | Obstetrics & Gynecology | 1165 Imperial Dr Ste 300, Hagerstown, MD 21740-6556 | 2012-05-18 |
| 1912298340 | David Mervyn Margulies | Obstetrics & Gynecology | 8231 Bradley Blvd, Bethesda, MD 20817-1911 | 2011-04-19 |
| 1487967188 | Stanley C Marinoff | Obstetrics & Gynecology | 5600 Wisconsin Ave, 601, Chevy Chase, MD 20815-4405 | 2010-07-22 |
| 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.