DR. PAUL J QUESENBERRY (NPI# 1326043761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326043761 |
| Entity Type | Individual |
| Full Name | DR. PAUL J QUESENBERRY |
| Credential | MD |
| Practice Address |
11110 Medical Campus Rd Ste 200 Hagerstown MD 21742-6797 |
| Practice Telephone | 3017144400 |
| Practice Fax Number | 3017144424 |
| Mailing Telephone | 3017909240 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D86668 | MD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD052474L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HEALTHNET/TRICARE | 25-1716306 | 01 |
| PA | SOUTH CENTRAL PREFERRED | 25-1716306 | 01 |
| PA | 0014678570003 | 05 | |
| PA | FIRST HEALTH | 1336313 | 01 |
| PA | DEVON | 25-1716306 | 01 |
| PA | AETNA HMO | 843855 | 01 |
| PA | DEA | BQ3511347 | 01 |
| PA | GATEWAY | P006024 | 01 |
| PA | RAILROAD MEDICARE | 080087934 | 01 |
| PA | DEPT OF LABOR | 120420409 | 01 |
| PA | UNISON | 122756 | 01 |
| PA | INFORMED | 25-1716306 | 01 |
| PA | MEDICARE GROUP # | 867633 | 01 |
| PA | INTERGROUP | 25-1716306 | 01 |
| PA | HEALTH AMERICA | 427334 | 01 |
| PA | LICENSE | MD052474L | 01 |
| PA | HIGHMARK BLUESHIELD | QU766314 | 01 |
| PA | MEDICAID GROUP # | 1007307260034 | 01 |
| PA | MULTIPLAN/PHCS | 25-1716306 | 01 |
| PA | GREATWEST HEALTHCARE | 25-1716306 | 01 |
| PA | AETNA NON-HMO | 4526530 | 01 |
| PA | CAPITAL BLUECROSS | 2106701 | 01 |
| PA | MAMSI | 247738 | 01 |
| Street Address |
11110 MEDICAL CAMPUS RD STE 200 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486648 | Rashmi Priya Singh | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2020-04-18 |
| 1518595735 | Christopher Larrimore | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2020-04-01 |
| 1659909141 | Mariana Leone | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2020-03-30 |
| 1174180277 | Serina J Lewis | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2019-05-23 |
| 1568028124 | Ryan Gabriel | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2019-05-18 |
| 1922664770 | Muhammad Umar Jawaid | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2019-05-17 |
| 1407412232 | Kezia Lynnette Ellison | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2019-05-16 |
| 1629634753 | Olaoye Jegede | Student in an Organized Health Care Education/Training Program | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2019-05-14 |
| 1972087955 | Tamara Alison Yeager | Nurse Practitioner | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2018-09-17 |
| 1861922536 | Denise Ann Ringley | Nurse Practitioner | 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1023488020 | Complete Care LLC | Family Medicine | 40 Elgin Blvd, Suite 201, Hagerstown, MD 21740-5304 | 2015-10-02 |
| 1578695821 | Ian Henry Newbold | Family Medicine | 1826 Dual Highway, Hagerstown, MD 21740 | 2007-03-12 |
| 1336211796 | Susan M Womeldorf | Family Medicine | 13424 Pa Ave, Merritus Urgent Care, Hagerstown, MD 21742-2658 | 2006-11-14 |
| 1598862864 | Shahid Mahmood Md Family Practice Pa | Family Medicine | 1124 Opal Ct, Hagerstown, MD 21740-5940 | 2006-09-20 |
| 1245343342 | Larry Shranatan | Family Medicine | 12916 Conamar Drive, Suite 204, Hagerstown, MD 21742 | 2006-08-16 |
| 1770518003 | Johns Hopkins Community Physicians | Family Medicine | 12916 Conamar Dr Ste 204, Hagerstown, MD 21742-2773 | 2006-07-12 |
| 1235162280 | Matthew Grey Beckwith | Family Medicine | 24 N Walnut St Ste 100, Hagerstown, MD 21740-4741 | 2006-07-09 |
| 1982666913 | Vasant Datta | Family Medicine | 340 Mill St, Hagerstown, MD 21740-6138 | 2006-04-05 |
| 1306829205 | Martha A. Riggle | Family Medicine | 24 N Walnut St, Suite 102, Hagerstown, MD 21740-4738 | 2005-11-23 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.