OWENSVILLE PRIMARY CARE,INC (NPI# 1225110067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225110067 |
| Entity Type | Organization |
| Organization Name | OWENSVILLE PRIMARY CARE,INC |
| Practice Address |
134 Owensville Rd West River MD 20778-9998 |
| Mailing Address |
134 Owensville Road West River MD 20778-9998 |
| Practice Telephone | 4108671268 |
| Practice Fax Number | 4108678754 |
| Mailing Telephone | 4108671268 |
| Mailing Fax Number | 4108678754 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | BILLIE S MEADOWS (OFFICE MANAGER) |
| Authorized Official Telephone | 4108674700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404482700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174019327 | Owensville Primary Care,inc | Psychologist | 6131 Shady Side Rd, Shady Side, MD 20764-9504 | 2018-07-10 |
| Street Address |
134 OWENSVILLE RD |
| City | WEST RIVER |
| State | MD |
| Zip Code | 20778-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427692 | Michael Wayne Tongue | Podiatrist | 134 Owensville Rd, West River, MD 20778-9998 | 2005-12-09 |
| 1134603319 | Rebecca Roth | Nurse Practitioner | 134 Owensville Rd, West River, MD 20778-9702 | 2018-09-24 |
| 1932689171 | Tiffany Blair | Social Worker | 134 Owensville Rd, West River, MD 20778-9702 | 2018-08-17 |
| 1659731628 | Jennifer Evans | Social Worker | 134 Owensville Rd, West River, MD 20778 | 2016-03-03 |
| 1871791772 | Andrea Michelle Matthews | Family Medicine | 134 Owensville Rd, West River, MD 20778-9702 | 2007-07-03 |
| 1841368115 | Jana L. Raup | Counselor | 134 Owensville Rd, West River, MD 20778-9998 | 2006-12-02 |
| 1508948324 | Laura C Niewenhous | Nurse Practitioner | 134 Owensville Rd, West River, MD 20778-9998 | 2006-10-20 |
| 1457318339 | Leslie F Brooks | Family Medicine | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-26 |
| 1215993449 | Wayne D Bierbaum | Internal Medicine | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-25 |
| 1689639445 | Heather Lynne Brown | Physician Assistant | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750463568 | Nancy S Bryant | Nurse Practitioner | 134 Owensville Road, West River, MD 20778 | 2006-10-20 |
| 1841551645 | Thomas A Sheesley | Family Medicine | 134 Owensville Road, West River, MD 20778 | 2012-06-07 |
| 1972814192 | Jonathan J Hennessee | Family Medicine | 134 Owensville Road, West River, MD 20778 | 2010-06-23 |
| 1629428990 | Cynthia Bischoff | Lactation Consultant, Non-RN | 1016 Allen Ave, West River, MD 20778-2225 | 2016-06-17 |
| 1164612511 | Patricia N Nowell | Counselor | 5030 Sudley Rd, West River, MD 20778-9716 | 2007-07-31 |
| 1679181846 | Eric J Guida | Dentist | 832 Locust Dr, West River, MD 20778-9745 | 2020-07-14 |
| 1750616413 | Angela Renee Liston | Occupational Therapist | 4322 Owensbrooke Ct, West River, MD 20778-9791 | 2009-10-13 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841551645 | Thomas A Sheesley | Family Medicine | 134 Owensville Road, West River, MD 20778 | 2012-06-07 |
| 1972814192 | Jonathan J Hennessee | Family Medicine | 134 Owensville Road, West River, MD 20778 | 2010-06-23 |
| 1871791772 | Andrea Michelle Matthews | Family Medicine | 134 Owensville Rd, West River, MD 20778-9702 | 2007-07-03 |
| 1457318339 | Leslie F Brooks | Family Medicine | 134 Owensville Rd, West River, MD 20778-9998 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST RIVER |
| Zip Code | 20778 |
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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.