CECIL IMAGING CENTER, LLC (NPI# 1275765364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275765364 |
| Entity Type | Organization |
| Organization Name | CECIL IMAGING CENTER, LLC |
| Practice Address |
139 W Main St Elkton MD 21921-5540 |
| Mailing Address |
Po Box 1009 Elkton MD 21922-1009 |
| Practice Telephone | 4103928182 |
| Practice Fax Number | 4103928184 |
| Mailing Telephone | 4103928182 |
| Mailing Fax Number | 4103928184 |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2009-08-22 |
| Authorized Official Name | FREDERICK WANG (PHYSICIAN) |
| Authorized Official Telephone | 4103928182 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
139 W MAIN ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598183501 | Medtix, LLC | Durable Medical Equipment & Medical Supplies | 139 W Main St, Elkton, MD 21921-5540 | 2014-04-07 |
| 1144456377 | Maryland Pain Institute, LLC | Specialist | 139 W Main St, Elkton, MD 21921-5540 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003170929 | Cheryl Elaine Williams | Specialist | 900 E Pulaski Hwy Fl 2, Elkton, MD 21921-6304 | 2012-06-25 |
| 1356632012 | Stephen N Wainaina | Specialist | 22 Thyme St, Elkton, MD 21921-6570 | 2011-04-28 |
| 1013221159 | Elsa De Jesus Leonardo | Specialist | 112 Carriage Ln, Elkton, MD 21921-4838 | 2010-07-30 |
| 1235461039 | Premiere Childrens Physicans, Pa | Specialist | 701 N Bridge St, Suite 104, Northside Plaza, Elkton, MD 21921-5309 | 2010-02-03 |
| 1639202153 | Barbara Ann Facciolo | Specialist | 50 Farah Dr, Shah Valley, Elkton, MD 21921-2217 | 2007-03-13 |
| 1316091093 | Jessica S Dugan | Specialist | 4813 Innisbrook Ct S, Elkton, FL 32033-2067 | 2007-01-22 |
| 1285626887 | Dong Hee Park | Specialist | 103 E Main St, Elkton, MD 21921-5906 | 2005-08-19 |
| 1376535112 | Lester Byron Horrell | Specialist | 703 N. Bridge St., Suite 104, Elkton, MD 21921 | 2005-08-18 |
| 1194728469 | Mark Pfaff | Specialist | 160 Railroad Ave, Elkton, MD 21921-5538 | 2005-05-31 |
| 1730663774 | New Health of North East, LLC | Specialist | 101 Chesapeake Blvd Ste B, Elkton, MD 21921 | 2018-09-15 |
| Find all providers in ELKTON | ||||
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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.