GEBREYE W. RUFAEL, M.D, PA


Address: 10840 Little Patuxent Pkwy, 302, Columbia, MD 21044-3115
Phone: 4109924666

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
D17107 MD Ambulatory Health Care Facilities

Other Provider Identifier

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

Office Location

Street Address 10840 LITTLE PATUXENT PKWY
302
City COLUMBIA
State MD
Zip Code 21044-3115

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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
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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

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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
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Competitor

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City COLUMBIA
Zip Code 21044

Improve Information

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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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