PAMELA CASTILLO MARTINEZ (NPI# 1366824310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366824310 |
| Entity Type | Individual |
| Full Name | PAMELA CASTILLO MARTINEZ |
| Practice Address |
61 Thomas Johnson Dr Frederick MD 21702 |
| Mailing Address |
8110 Maple Lawn Blvd Ste 235 Fulton MD 20759-2694 |
| Practice Telephone | 3016636171 |
| Practice Fax Number | 3016954469 |
| Mailing Telephone | 3013408339 |
| Mailing Fax Number | 3013409027 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0088208 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | D0088208 | 01 |
| MD | DEA CERTIFICATE | FC8794097 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University District Hospital, Puerto Rico Medical Center, San Juan, PR 009350001 | 7877582525 |
| Street Address |
61 THOMAS JOHNSON DR |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134101884 | Gerrit Schipper | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2005-11-17 |
| 1689227118 | Ruth Nasieku Kingoo | Nurse Practitioner | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2019-07-23 |
| 1447675756 | Leah G Howell | Nurse Practitioner | 61 Thomas Johnson Dr, Frederick, MD 21702 | 2014-02-24 |
| 1609207778 | Khalilah Jefferson | Nurse Practitioner | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2013-11-27 |
| 1548539307 | Virginia Chesson Siemer | Midwife | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2011-12-23 |
| 1053694539 | Tasscia Williams | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2011-09-21 |
| 1083933162 | Analeta Njema Peterson | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-05-27 |
| 1346568557 | Allison Groff Brenner | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-05-12 |
| 1902066715 | Sang Ho Rhee | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2008-06-16 |
| 1437289766 | Amy N Heyman | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225399421 | Sandra Celia Magos Christiansen | Obstetrics & Gynecology | 707 N Market St, Frederick, MD 21701-5246 | 2012-06-04 |
| 1841593548 | Marc J Teitelbaum | Obstetrics & Gynecology | 5705 Industry Ln, Room 251, Frederick, MD 21704-5163 | 2010-12-19 |
| 1780896183 | Jie Gao | Obstetrics & Gynecology | 97 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4379 | 2007-05-06 |
| 1134101884 | Gerrit Schipper | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2005-11-17 |
| 1053694539 | Tasscia Williams | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2011-09-21 |
| 1083933162 | Analeta Njema Peterson | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-05-27 |
| 1346568557 | Allison Groff Brenner | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-05-12 |
| 1902066715 | Sang Ho Rhee | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2008-06-16 |
| 1265615116 | Selena Thomas | Obstetrics & Gynecology | 7190 Crestwood Boulevard, Frederick, MD 21703-3901 | 2007-12-14 |
| 1437289766 | Amy N Heyman | Obstetrics & Gynecology | 61 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2007-03-06 |
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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.