PROF. JACK A. GOBLE JR. (NPI# 1366715625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366715625 |
| Entity Type | Individual |
| Full Name | PROF. JACK A. GOBLE JR. |
| Credential | PA-C |
| Practice Address |
10755 Falls Rd Suite 160 Lutherville MD 21093-4515 |
| Mailing Address |
100 Lee St Stewartstown PA 17363-4061 |
| Practice Telephone | 4102852777 |
| Mailing Telephone | 7175786660 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA002128L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0001029 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10755 FALLS RD SUITE 160 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584435 | Thomas Pozefsky | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2005-08-03 |
| 1013360387 | Joanne Elizabeth Desmond | Nurse Practitioner | 10755 Falls Rd, Suite 260, Lutherville, MD 21093-4515 | 2016-07-21 |
| 1649521634 | Anna Rae Turpin | Nurse Practitioner | 10755 Falls Rd, Lutherville, MD 21093-4515 | 2012-10-01 |
| 1770856916 | Amy Jordan Marshall | Nurse Practitioner | 10755 Falls Rd, Suite 260, Lutherville, MD 21093-4515 | 2012-02-20 |
| 1700163953 | Sarah Cavanagh Cornbrooks | Psychologist | 10755 Falls Rd, Lutherville, MD 21093-4515 | 2011-11-15 |
| 1720376841 | Tracey A Horn | Psychologist | 10755 Falls Rd, Suite 260, Lutherville, MD 21093-4515 | 2011-07-11 |
| 1104115054 | Diane Claire Pressman | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2011-03-31 |
| 1356644884 | Pectus Services of Maryland LLC | Durable Medical Equipment & Medical Supplies | 10755 Falls Rd, Suite 460, Lutherville, MD 21093-4515 | 2010-12-06 |
| 1508178039 | Park Medical Associates Non-par LLC | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2010-07-13 |
| 1700103017 | Park Medical Associates Par LLC | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2010-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159945 | Caitlin Riess | Physician Assistant | 1447 York Rd Ste 301, Lutherville, MD 21093-6022 | 2019-02-04 |
| 1134622095 | Megan Quinn | Physician Assistant | 1447 York Rd, Lutherville, MD 21093-6017 | 2018-03-16 |
| 1568892925 | Lauren Nicole Elder | Physician Assistant | 10753 Falls Rd, Suite 215, Pavilion II, Lutherville, MD 21093-4535 | 2013-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.