MARK SHELLY (NPI# 1205808367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205808367 |
| Entity Type | Individual |
| Full Name | MARK SHELLY |
| Credential | D.O. |
| Practice Address |
1413 Research Blvd Bldg 102 Rockville MD 20850-3159 |
| Practice Telephone | 3013190000 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
0102200835 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902922149 | Mark R Shelly | Podiatrist | 17609 Ventura Blvd, Ste 210, Encino, CA 91316-5123 | 2007-03-21 |
| 1023027927 | Mark A Shelly | Internal Medicine | 100 N Academy Ave, Danville, PA 17822 | 2006-08-07 |
| Street Address |
1413 RESEARCH BLVD BLDG 102 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749897 | Louis N Finelli | Pathology | 1413 Research Blvd, Bldg 102, Rockville, MD 20850-3125 | 2005-12-01 |
| 1083687321 | Abubakr A Marzouk | Pathology | 1413 Research Blvd, Bldg 102, Rockville, MD 20850-3125 | 2006-02-08 |
| 1316922743 | Sherman Alfred Mccall | Pathology | 1413 Research Blvd, Molecular Pathology, B101, Rockville, MD 20850 | 2005-12-08 |
| 1558346197 | James Louis Caruso | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-07 |
| 1689658452 | Suzanne Margaret Barritt-ross | Specialist | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-05 |
| 1235113390 | Scott Arnold Luzi | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-02 |
| 1144204017 | Lisa A Pearse | Preventive Medicine | 1413 Research Blvd, Bldg 102, Rockville, MD 20850-3125 | 2005-12-02 |
| 1639153869 | Craig T Mallak | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-01 |
| 1033193230 | Philip Jospeh Berran | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749897 | Louis N Finelli | Pathology | 1413 Research Blvd, Bldg 102, Rockville, MD 20850-3125 | 2005-12-01 |
| 1083687321 | Abubakr A Marzouk | Pathology | 1413 Research Blvd, Bldg 102, Rockville, MD 20850-3125 | 2006-02-08 |
| 1558346197 | James Louis Caruso | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-07 |
| 1235113390 | Scott Arnold Luzi | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-02 |
| 1639153869 | Craig T Mallak | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-01 |
| 1033193230 | Philip Jospeh Berran | Pathology | 1413 Research Blvd, Rockville, MD 20850-3125 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720490568 | Carol Huser | Pathology | 8855 Orchard Dr, Chestertown, MD 21620-3405 | 2014-05-28 |
| 1144591363 | Rudiger Breitenecker Sr. | Pathology | 2000 Western Run Rd., Cockeysville, MD 21030-1125 | 2012-01-19 |
| 1164750139 | Marc Steven Micozzi | Pathology | 4605 Chase Ave, Bethesda, MD 20814-3525 | 2009-12-02 |
| 1932243599 | Mary Geletta Ripple | Pathology | 900 W Baltimore St, Baltimore, MD 21223-2595 | 2007-02-16 |
| 1568789964 | Stephanie Ann Dean | Pathology | 900 W Baltimore St, Baltimore, MD 21223-2595 | 2010-04-23 |
| 1164617262 | Donna Marie Vincenti | Pathology | 111 Penn St, Baltimore, MD 21201-1020 | 2007-09-11 |
| 1073704805 | Carol H Allan | Pathology | 111 Penn St, Baltimore, MD 21201-1020 | 2007-08-07 |
| 1437282761 | David Richard Fowler | Pathology | 111 Penn St, Baltimore, MD 21201-1020 | 2007-03-14 |
| 1477506749 | Elizabeth Aldrich Rouse | Pathology | 4301 Jones Bridge Road, Uniformed Services University of The Health Sciences, Bethesda, MD 20814-4799 | 2006-05-18 |
| 1700840634 | Edward Michael Kilbane | Pathology | 8901 Wisconsin Ave., Travel Medicine/infectious Disease, Bethesda, MD 20889-0001 | 2006-04-17 |
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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.