SATOSHI IKEDA MD PA (NPI# 1306034160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306034160 |
| Entity Type | Organization |
| Organization Name | SATOSHI IKEDA MD PA |
| Practice Address |
111 W High St Suite 211 Elkton MD 21921-5529 |
| Mailing Address |
71 Omega Dr Building D Newark DE 19713-2063 |
| Practice Telephone | 4103923033 |
| Practice Fax Number | 4103922897 |
| Mailing Telephone | 3022833300 |
| Mailing Fax Number | 3022833321 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | DR. SATOSHI IKEDA (DOCTOR) |
| Authorized Official Telephone | 4103923033 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C100000901 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 170001 | 05 |
| Street Address |
111 W HIGH ST SUITE 211 |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062492 | Suzy Fawzy Nashed | Psychiatry & Neurology | 111 W High St, Suite 315, Elkton, MD 21921-5529 | 2005-09-07 |
| 1437649068 | Alliance Healthcare Services Inc | Clinic/Center | 111 W High St, Elkton, MD 21921-5529 | 2018-05-18 |
| 1174063879 | Union Hospital of Cecil County | Social Worker | 111 W High St, Suite 204, Elkton, MD 21921-5529 | 2017-02-28 |
| 1194268276 | Shane O'hare | Social Worker | 111 W High St, Ste 204, Elkton, MD 21921-5529 | 2016-11-22 |
| 1104373562 | Ashley, Inc. | Psychologist | 111 W High St, Elkton, MD 21921-5529 | 2016-09-02 |
| 1902353378 | Ashley, Inc. | Counselor | 111 W High St, Suite 109, Elkton, MD 21921-5529 | 2016-09-02 |
| 1841744232 | Ashley, Inc. | Counselor | 111 W High St, Suite 109, Elkton, MD 21921-5529 | 2016-08-15 |
| 1457767188 | Shauna L. Bright | Registered Nurse | 111 W High St, Suite 109, Elkton, MD 21921-5529 | 2014-07-02 |
| 1053721233 | Ryan Kimball | Nurse Practitioner | 111 W High St, Suite 314, Elkton, MD 21921-5529 | 2014-04-28 |
| 1457779613 | Rebecca Anne Cleiman | Dentist | 111 W High St, Suite 111, Elkton, MD 21921-5529 | 2014-04-03 |
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| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745336 | David Myers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 713 Childs Point Rd, Annapolis, MD 21401-4498 | 2020-03-18 |
| 1457652505 | Richard Nathaniel Scott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13321 Ridgewood Dr, Ellicott City, MD 21042-1265 | 2010-11-05 |
| 1144458449 | Lindsey Michelle Prescher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Wisconsin Ave Cardiothoracic Surgery Department, Bethesda, MD 20889-0140 | 2009-06-24 |
| 1134363500 | Ferdinand S. Leacock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3442 Rockway Ave, Annapolis, MD 21403-4852 | 2009-04-28 |
| 1235377862 | Paul Damien Hatton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3107 Black Chestnut Ln, Chevy Chase, MD 20815-4754 | 2009-02-04 |
| 1821252370 | Parijat Mukund Didolkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5051 Greenspring Ave Ste 304, Baltimore, MD 21209 | 2008-07-14 |
| 1801054630 | The Medical Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7500 Hanover Pkwy Ste 205, Greenbelt, MD 20770-2009 | 2008-05-29 |
| 1871777995 | Barry J. Levin, M.d. LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10215 Fernwood Rd Ste 405, Bethesda, MD 20817-1191 | 2007-12-26 |
| 1518140946 | Nicholas John Karis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2007-12-07 |
| 1336349554 | Cardiac Surgery Associates, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3328 Butler Rd, Reisterstown, MD 21136-3855 | 2007-07-25 |
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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.