GEBREYE W. RUFAEL, M.D, PA (NPI# 1215186465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215186465 |
Entity Type | Organization |
Organization Name | GEBREYE W. RUFAEL, M.D, PA |
Practice Address |
10840 Little Patuxent Pkwy 302 Columbia MD 21044-3115 |
Practice Telephone | 4109924666 |
Practice Fax Number | 4109924766 |
Mailing Telephone | 4109924666 |
Mailing Fax Number | 4109924766 |
Enumeration Date | 2008-09-11 |
Last Update Date | 2008-09-11 |
Authorized Official Name | DR. GEBREYE W. RUFAEL (OWNER) |
Authorized Official Telephone | 4109924666 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D17107 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | BLUE SHIELD/BLUE CROSS | 0-7251-GW-11 | 01 |
AETNA | 4053583 | 01 | |
MD | 965171301 | 05 | |
UNITED HEALTHCARE | 3300066 | 01 | |
DC | BLUE SHIELD/BLUE CROSS | 7680-0001 | 01 |
CIGNA | 10101242 | 01 |
Street Address |
10840 LITTLE PATUXENT PKWY 302 |
City | COLUMBIA |
State | MD |
Zip Code | 21044-3115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902916547 | Life Fitness Physical Therapy of Columbia | Physical Therapist | 10840 Little Patuxent Pkwy, Ste 402, Columbia, MD 21044-3115 | 2006-08-30 |
1003455627 | Ethos Health Maryland 3 LLC | Clinic/Center | 10840 Little Patuxent Pkwy, Columbia, MD 21044-3115 | 2019-12-30 |
1386190452 | Alyssa Lauren Bitzel | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 403, Columbia, MD 21044-3115 | 2016-08-29 |
1659711729 | Ms-hc, LLC | Non-Pharmacy Dispensing Site | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2013-07-03 |
1427206820 | Life Fitness Physical Therapy LLC | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 402, Columbia, MD 21044-3115 | 2008-08-28 |
1306094644 | Elsie Joel-morse | Dentist | 10840 Little Patuxent Pkwy, Ste 401, Columbia, MD 21044-3115 | 2008-08-28 |
1124227400 | Lauren Gloger Geisbert | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 403, Columbia, MD 21044-3115 | 2007-07-16 |
1124231071 | Nancy Catherine Eubanks | Physical Therapist | 10840 Little Patuxent Pkwy, Suite 402, Columbia, MD 21044-3115 | 2007-05-08 |
1164644142 | Peter Dexheimer Pa | Preferred Provider Organization | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2007-05-02 |
1952401754 | Peter Robert Dexheimer | Chiropractor | 10840 Little Patuxent Pkwy, Suite 203, Columbia, MD 21044-3115 | 2006-09-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
Find all providers in zip 21044 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811224967 | Maryland Ivf Health & Wellness Center | Clinic/Center | 9250 Bendix Road North, Columbia, MD 21045-1832 | 2009-11-11 |
1033319140 | Missouri Ear Nose and Throat Center | Clinic/Center | 3401 Berrywood Dr, Suite 201, Columbia, MO 65201-6515 | 2007-07-18 |
1265486807 | The Robert M. Lombard Hyperbaric Oxygenation Medical Center | Clinic/Center | 255 N 6th St, Columbia, PA 17512-2107 | 2006-05-19 |
1558320275 | Palmetto Pediatric Gastroenterology | Clinic/Center | 2113 Adams Grv, Suite 200, Columbia, SC 29203-7102 | 2006-03-21 |
1639524432 | Hammett Clinic, Pa | Clinic/Center | 3710 Landmark Dr, Suite 114, Columbia, SC 29204-4062 | 2016-04-29 |
1417317264 | Thomas J Carzoli Md Pa | Clinic/Center | 1301 Taylor St, Suite 5k, Columbia, SC 29201-2942 | 2016-03-07 |
1932575313 | Marion County Internal Medicine Clinic | Clinic/Center | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-08-19 |
1417356437 | Christina P Lynn, Md | Clinic/Center | 3612 Landmark Dr, Columbia, SC 29204-4039 | 2014-08-14 |
1154607430 | Allergy and Asthma Educational Specialists, LLC | Clinic/Center | 1601 E Broadway, Ste 250, Columbia, MO 65201-8020 | 2011-10-31 |
1053585661 | Patricia M. Sullivan, Md, LLC | Clinic/Center | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2008-04-15 |
Find all providers in COLUMBIA |
Please comment or provide details below to improve the information on GEBREYE W. RUFAEL, M.D, PA.
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.