SHAWN D GIACOBBE (NPI# 1366872400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366872400 |
| Entity Type | Individual |
| Full Name | SHAWN D GIACOBBE |
| Credential | PA-C |
| Practice Address |
7505 Osler Dr Ste 104 Towson MD 21204-7737 |
| Mailing Address |
8322 Bellona Ave Ste 100 Towson MD 21204-2065 |
| Practice Telephone | 4103378888 |
| Practice Fax Number | 4108234833 |
| Mailing Telephone | (410) 337-7900 |
| Mailing Fax Number | 4107698591 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C05261 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND LICENSE | C0005261 | 01 |
| Street Address |
7505 OSLER DR STE 104 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447485891 | Kenneth M Crandall | Neurological Surgery | 7505 Osler Dr Ste 104, Towson, MD 21204-7737 | 2009-05-28 |
| 1972157295 | University of Maryland St. Joseph Orthopaedics, LLC | Durable Medical Equipment & Medical Supplies | 7505 Osler Dr Ste 104, Towson, MD 21204-7737 | 2019-07-25 |
| 1184047797 | Colleen Nicole Rice | Physician Assistant | 7505 Osler Dr Ste 104, Towson, MD 21204-7737 | 2014-02-03 |
| 1699068163 | Elizabeth Inkellis Langhammer | Orthopaedic Surgery | 7505 Osler Dr Ste 104, Towson, MD 21204 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1750532701 | Jessica Reavis Prescott | Physician Assistant | 514 Mcmanus Way, #t514, Towson, MD 21286-8506 | 2008-10-08 |
| 1669414785 | Yongwon Lee | Physician Assistant | 950 York Rd, Towson, MD 21204-2513 | 2006-06-12 |
| 1700842762 | Cheryl Renee Grossman | Physician Assistant | 515 Fairmount Ave Ste 400, Towson, MD 21286-8518 | 2006-04-26 |
| 1093350365 | Larissa Cooley | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-11-11 |
| 1962052142 | Patricia Hallman | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-09-18 |
| 1093371312 | Pai Participant 1 LLC | Physician Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2019-05-13 |
| 1568937175 | Zakary Myles Everhart | Physician Assistant | 8322 Bellona Ave Ste 100, Towson, MD 21204-2065 | 2018-10-10 |
| 1801380514 | Arielle Blahus | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2018-06-15 |
| 1417465659 | Matthew Correnti | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2018-01-22 |
| Find all providers in TOWSON | ||||
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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.