MR. JEFFREY TAYAG MARUCUT


Address: 5900 Cedar Ln, Columbia, MD 21044
Phone: 4437184067

MR. JEFFREY TAYAG MARUCUT (NPI# 1366794166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366794166
Entity Type Individual
Full Name MR. JEFFREY TAYAG MARUCUT
Credential PA-C
Practice Address 5900 Cedar Ln
Columbia
MD 21044
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Practice Telephone 4437184067
Mailing Telephone 8049685700
Enumeration Date 2012-10-04
Last Update Date 2018-08-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0004856 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5900 CEDAR LN
City COLUMBIA
State MD
Zip Code 21044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376519322 Edmund Conrad Tortolani Specialist 5900 Cedar Ln, Johns Hopkins @ Cedar Lane, Columbia, MD 21044-3635 2006-02-28
1730626490 Sumara Imtiaz Choudhry Physician Assistant 5900 Cedar Ln, Columbia, MD 21044-3635 2017-01-19
1295287753 Anu Olayinka Willingham-mclain Physician Assistant 5900 Cedar Ln, Columbia, MD 21044-3635 2016-11-01
1497126502 Jacqueline Renee Schnell Physician Assistant 5900 Cedar Ln, Columbia, MD 21044-3635 2015-10-14
1003203845 Justin Richard Waite Physician Assistant 5900 Cedar Ln, Columbia, MD 21044-3635 2015-04-20
1700291689 Eun A Kim Pediatrics 5900 Cedar Ln, Columbia, MD 21044-3635 2014-06-30
1659659555 Patient First Maryland Medical Group Non-Pharmacy Dispensing Site 5900 Cedar Ln, Columbia, MD 21044-3635 2011-07-26
1366735516 Patient First Maryland Medical Group Pllc Family Medicine 5900 Cedar Ln, Columbia, MD 21044-3635 2011-05-20
1184898488 Antonio Aguilar Physician Assistant 5900 Cedar Ln, Columbia, MD 21044-3635 2008-04-17
1588856132 Everette Darr Lafon Jr. Emergency Medicine 5900 Cedar Ln, Columbia, MD 21044-3635 2007-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821699331 Brightview Columbia, LLC Alzheimer Center (Dementia Center) 6670 Martin Road, Columbia, MD 21044 2020-11-03
1689291544 Diana Matthews Physical Therapist 6016 Jerrys Drive, Columbia, MD 21044 2020-06-26
1902380926 Bagiwa Healthcare Services LLC Nursing Care 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 2018-09-17
1295228245 April Bloom Assisted Living, LLC Assisted Living Facility 5037 East Durham Rd, Columbia, MD 21044 2018-06-13
1437659562 La Shawna A Obame Counselor 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 2018-02-15
1205335262 Rashida Annette Winestock Registered Nurse 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 2018-02-06
1215436274 Terri Lynn Buzby Registered Nurse 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 2018-02-06
1134628191 Sarah Elizabeth Stiltner Registered Nurse 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 2018-02-06
1326547381 David Oliver Sloan Jr. Registered Nurse 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 2018-02-06
1467950980 Jill Sheppard Davenport Nutritionist 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 2018-01-30
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619500691 Ivanka M Mora Physician Assistant 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 2020-02-18
1316579287 Christina Verzi Physician Assistant 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 2020-02-10
1225668064 Steven Ebers Physician Assistant 1201 International Dr, Columbia, MO 65202-1612 2020-01-21
1780228197 Jeremy M Barth Physician Assistant 5886 Morningbird Ln, Columbia, MD 21045-3508 2019-10-30
1730749920 Ann Marie Schlafly Physician Assistant 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 2019-06-19
1619532363 Casey Burner Skinner Physician Assistant 2126 Tugaloo Ave, Columbia, SC 29205-3330 2019-05-08
1205491040 Meghan Catherine Monk Physician Assistant 229 Route 87, Columbia, CT 06237-1050 2019-05-07
1124594999 Candace Rachel Skulkety Physician Assistant 612 Whaley St Apt 348, Columbia, SC 29201-6329 2018-10-19
1508346396 Hannah Marie Dewes Physician Assistant 3 Medical Park Rd #310, Columbia, SC 29203 2018-08-21
1295236438 Helen Mckinney Physician Assistant 234 Castlebury Dr, Columbia, SC 29229-7566 2018-02-22
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Competitor

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City COLUMBIA
Zip Code 21044

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Dataset Information

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.

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