ABAYNESH NEGASH DESALEGN


Address: 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593
Phone: 4439490814

ABAYNESH NEGASH DESALEGN (NPI# 1235567009) 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) 1235567009
Entity Type Individual
Full Name ABAYNESH NEGASH DESALEGN
Credential PA-C
Practice Address 6934 Aviation Blvd Ste B
Glen Burnie
MD 21061-2593
Mailing Address 8328 Navahoe Dr
Silver Spring
MD 20903-3331
Practice Telephone 4439490814
Practice Fax Number 4439490825
Mailing Telephone 2408987015
Enumeration Date 2013-10-14
Last Update Date 2013-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0005175 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6934 AVIATION BLVD STE B
City GLEN BURNIE
State MD
Zip Code 21061-2593

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982769931 Diana May Ng Nurse Practitioner 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2006-12-27
1952774291 Mdics Transitional Care, LLC Hospitalist 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2015-11-09
1417330341 Justine Watson Physician Assistant 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2015-07-09
1124456447 Alvaro Arango Physician Assistant 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2013-10-23
1619243003 Brittany Jo Jenkins Physician Assistant 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2012-03-29
1073767323 Sudhakar Venkata Lakshmi Devathi Internal Medicine 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2008-11-13
1770707598 Jennifer Hanlon Clark Family Medicine 6934 Aviation Blvd Ste B, Mdics, Glen Burnie, MD 21061 2007-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255814422 Lotus Behavioral Health and Rehabilitation Services Inc. Behavior Technician 6426 Harrison Square, Glen Burnie, MD 21061 2018-09-12
1942795315 Tina Brown Behavior Technician Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 2018-06-27
1205351905 Digna Emerita Sanchez De Vasquez Specialist/Technologist, Other 201 Fernglen Ave, Glen Burnie, MD 21061 2017-08-03
1255780300 Rachel Cutts Physical Therapist 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 2016-06-09
1295181170 Gaudenzia, Inc. Counselor 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 2016-05-10
1023499548 Mary Bourbon Nurse Practitioner 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 2015-06-10
1972997724 Robert Oladeinde Physician Assistant 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 2015-03-18
1205248069 Cathy Qing He Anesthesiology 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 2014-05-28
1477974764 Shannon Holder Nurse Practitioner 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 2014-01-03
1629404207 Marla Ann Muha Physician Assistant 301 Hospital Dr # 803, Glen Burnie, MD 21061 2013-09-16
Find all providers in zip 21061

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871894808 Diane Adaku Tackie Physician Assistant 1405 Madison Park Dr Ste 1b, Glen Burnie, MD 21061-5864 2010-11-08
1104389345 Tyler Goldberg Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2019-04-12
1821587478 Sara Rae Fissel Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2018-05-08
1841710332 Christian Johnson Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2017-06-26
1538515416 Anita A. Mbah Physician Assistant 85 Kindred Way, Glen Burnie, MD 21061 2016-05-10
1467810267 Ashlee Victoria Elms Physician Assistant 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 2016-02-08
1316316045 Kiersten Hoefler Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2015-09-23
1134557366 Theresa Lohn Physician Assistant 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 2013-10-25
1124456447 Alvaro Arango Physician Assistant 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 2013-10-23
1972939692 Tracy Diane Tullier Physician Assistant 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 2013-09-26
Find all providers in GLEN BURNIE

Competitor

Search similar providers

City GLEN BURNIE
Zip Code 21061

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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