DR. JESSICA ROSE DURKEE-SHOCK (NPI# 1285900019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285900019 |
Entity Type | Individual |
Full Name | DR. JESSICA ROSE DURKEE-SHOCK |
Credential | M.D. |
Practice Address |
10 Center Drive Bethesda MD 20814 |
Mailing Address |
10 Center Drive Building 10-crc Rm4-1479 Bethesda MD 20814 |
Practice Telephone | 3012720628 |
Mailing Telephone | 3012720628 |
Enumeration Date | 2012-03-27 |
Last Update Date | 2020-09-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
MD046122 | DC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DC | MEDICAL LICENSE | MD046122 | 01 |
Street Address |
10 CENTER DRIVE |
City | BETHESDA |
State | MD |
Zip Code | 20814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962496471 | Olanda Marie Hathaway | Nurse Practitioner | 10 Center Drive, Building 10 Room 13c413, Bethesda, MD 20892 | 2005-09-12 |
1033722962 | Francis Aneke | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2020-08-29 |
1942811344 | Ariana Amini | Registered Nurse | 10 Center Drive, Bethesda, MD 20814 | 2020-08-11 |
1750924841 | Cristina Mullenix | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2019-10-22 |
1821646167 | Javed Khan | Pediatrics | 10 Center Drive, Bethesda, MD 20892-0001 | 2019-08-29 |
1144874710 | Alexander Lawandi | Internal Medicine | 10 Center Drive, Bethesda, MD 20896 | 2019-07-31 |
1972156875 | Michelly Kerly Sampaio De Melo | Student in an Organized Health Care Education/Training Program | 10 Center Drive, Bg 10 Rm 3n248, Bethesda, MD 20814 | 2019-07-19 |
1215491246 | Anita Stokes | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2019-01-23 |
1629543970 | Ick Ho Kim | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892 | 2018-10-12 |
1053891358 | Francis Rossignol | Medical Genetics | 10 Center Drive, Bethesda, MD 20814 | 2018-08-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
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Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760902936 | Muhammad Bilal Khalid | Internal Medicine | Nih- Building 10, Room 12c103, Bethesda, MD 20892-0001 | 2017-06-20 |
1396942678 | Sofia Chaudhry | Internal Medicine | Bldg 10 Rm 11n236, 10 Center Drive Msc 1881, Bethesda, MD 20892-0001 | 2007-06-29 |
1780896068 | Paul C. Turkeltaub, M.d. | Internal Medicine | 5225 Pooks Hill Rd, Suite 1-a, Bethesda, MD 20814-2052 | 2007-05-07 |
1487746566 | Raghava V Charya | Internal Medicine | Walter Reed National Naval Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477973568 | Olga Hardin | Internal Medicine | 10000 Ormond Rd, Potomac, MD 20854-5028 | 2014-04-16 |
1447414438 | Prasad M Nataraj Md PC | Internal Medicine | 208 Plumtree Road, B, Bel Air, MD 21015 | 2008-07-18 |
1811029242 | Antoine Azar | Internal Medicine | 5501 Hopkins Bayview Cir, Room 2a62, Baltimore, MD 21224-6821 | 2007-03-12 |
1316087620 | Ana Maria G Pasatiempo | Internal Medicine | 7141 Security Boulevard, Baltimore, MD 21244 | 2007-02-07 |
1083763726 | Jonathan Kim Fears | Internal Medicine | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2007-01-10 |
1760570741 | Susan Lee Limb | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-10-11 |
1841306701 | Nasheds, Pa | Internal Medicine | 111 West High Street, Suite 311, Elkton, MD 21921 | 2006-08-22 |
1831124833 | Adina K Knight | Internal Medicine | 15201 Shady Grove Rd, Rockville, MD 20850-3217 | 2006-07-11 |
1023057585 | Edward Conner | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-06 |
1205823739 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-09-30 |
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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.