SPECIALTY PHYSICIANS OF GARRETT (NPI# 1265819866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265819866 |
| Entity Type | Organization |
| Organization Name | SPECIALTY PHYSICIANS OF GARRETT |
| Other Organization Name | SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC |
| Practice Address |
880 Memorial Dr Lower Level Oakland MD 21550-5101 |
| Mailing Address |
Po Box 594 Oakland MD 21550-4594 |
| Practice Telephone | 3013341177 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | TRACY LIPSCOMB (SENIOR VICE PRESIDENT, FINANCE/CFO) |
| Authorized Official Telephone | 3015334171 |
| Authorized Official Credential | CPA, CHFP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Specialty Physicians of Garrett County, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346806502 | Specialty Physicians of Garrett | Family Medicine | 32 Corporate Dr, Grantsville, MD 21536-1259 | 2019-05-14 |
| Street Address |
880 MEMORIAL DR LOWER LEVEL |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534149 | Lynda S Dougherty | Specialist | 880 Memorial Dr, Oakland, MD 21550-5114 | 2005-11-02 |
| 1356840995 | Deep Creek Colon and Rectal Surgery, PC | Surgery | 880 Memorial Dr, Oakland, MD 21550-5114 | 2018-02-09 |
| 1205012358 | David Tuel M.d. Orthopedics LLC | Specialist | 880 Memorial Dr, Oakland, MD 21550-5101 | 2008-01-18 |
| 1417904699 | John M. Rathgeb | Orthopaedic Surgery | 880 Memorial Dr, Oakland, MD 21550-5101 | 2006-05-31 |
| 1174584718 | David Elmore Tuel II | Specialist | 880 Memorial Dr, Oakland, MD 21550-5101 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164798625 | Rachel Anne Yakrus | Obstetrics & Gynecology | 365 Hawthorne Ave # Mdc41, Oakland, CA 94609-3107 | 2012-03-29 |
| 1508165754 | Rachna Vanjani | Obstetrics & Gynecology | Highland Hospital - Department of Obgyn, 1411 East 31st Street, Oakland, CA 94602 | 2011-03-26 |
| 1801125406 | Monica Berletti | Obstetrics & Gynecology | 490 Grand Ave, Oakland, CA 94610-5057 | 2009-12-10 |
| 1811125016 | Sara Livingston Johnson | Obstetrics & Gynecology | 3451 East 12th St, Transit Village Women's 2nd Floor, Oakland, CA 94601-3425 | 2009-06-25 |
| 1336346691 | Abigail Therese Feathers | Obstetrics & Gynecology | 880 Memorial Dr Lowr Level, Oakland, MD 21550-5101 | 2007-06-29 |
| 1124179841 | Jennifer Leigh Pettigrew Schmitt | Obstetrics & Gynecology | 280 W Mac Arthur Blvd, Oakland, CA 94611 | 2007-01-16 |
| 1528118262 | Ruth Olweny | Obstetrics & Gynecology | 280 West Mac Arthur Blvd., Kaiser Oakland Medical Center, Oakland, CA 94611 | 2007-01-12 |
| 1669550455 | Arthur F. Levit | Obstetrics & Gynecology | 2137 Tiffin Rd, Oakland, CA 94602-2537 | 2006-11-01 |
| 1528141306 | Michellee Shaw Chen | Obstetrics & Gynecology | 350 30th St Ste 205, Oakland, CA 94609-3425 | 2006-10-23 |
| 1265528053 | Kris Yogam | Obstetrics & Gynecology | 400, 30th. Street, #207, Oakland, CA 94609 | 2006-10-05 |
| Find all providers in OAKLAND | ||||
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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.