BLANCHE MAVROMATIS (NPI# 1336137876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336137876 |
| Entity Type | Individual |
| Full Name | BLANCHE MAVROMATIS |
| Credential | MD |
| Practice Address |
904 Seton Dr Suite 205 Cumberland MD 21502-1849 |
| Mailing Address |
Po Box 631872 Baltimore MD 21263-1872 |
| Practice Telephone | 3017235279 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
31877 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
904 SETON DR SUITE 205 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578742425 | Qamar Ul Zaman, M.d. | Internal Medicine | 904 Seton Dr, Suite 203, Cumberland, MD 21502-1849 | 2007-10-29 |
| 1225240641 | Rohan Saint Aubyn Mullings | Anesthesiology | 904 Seton Dr, Suite 202, Cumberland, MD 21502-1818 | 2007-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366730491 | Ragneel Reddy Bijjula | Internal Medicine | 12502 Willowbrook Rd Ste 440, Cumberland, MD 21502-6567 | 2011-07-11 |
| 1578742425 | Qamar Ul Zaman, M.d. | Internal Medicine | 904 Seton Dr, Suite 203, Cumberland, MD 21502-1849 | 2007-10-29 |
| 1093893331 | Qamar Ul Zaman | Internal Medicine | 12502 Willowbrook Rd, Suite 440, Cumberland, MD 21502-6491 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908749 | Daniel Da Motta Girardi | Internal Medicine | National Institutes of Health (nih) Campus, Bethesda, MD 20892-0001 | 2019-12-06 |
| 1255894879 | Rcca Md LLC | Internal Medicine | 9715 Medical Center Dr Ste 221, Rockville, MD 20850-6319 | 2019-04-10 |
| 1720573132 | Mid-atlantic Oncology Hematology, LLC | Internal Medicine | 12210 Plum Orchard Dr Ste 211, Silver Spring, MD 20904-7913 | 2018-06-27 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| 1205371135 | Giovanni Melillo | Internal Medicine | 2554 Bear Den Rd, Frederick, MD 21701-5230 | 2017-01-02 |
| 1598217473 | Jong-hoon Lee | Internal Medicine | 10905 Lamplighter Ln, Potomac, MD 20854-2782 | 2016-10-26 |
| 1467800367 | Rcca Md LLC | Internal Medicine | 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507 | 2016-06-01 |
| 1598179962 | Ronald Gress | Internal Medicine | 10 Crc3 3330, Nih, Bethesda, MD 20892-0001 | 2014-06-13 |
| 1861827586 | Timothy C Meeker | Internal Medicine | 11133 Post House Ct, Potomac, MD 20854-2535 | 2013-09-12 |
| 1750622361 | Johannes Blom | Internal Medicine | 4136 Cadle Creek Rd, Edgewater, MD 21037-4529 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on BLANCHE MAVROMATIS.
| 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.