NOELLA YEFON SHADZEKA (NPI# 1407143993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407143993 |
| Entity Type | Individual |
| Full Name | NOELLA YEFON SHADZEKA |
| Credential | PA |
| Practice Address |
4100 College Ave Ellicott City MD 21043-5506 |
| Mailing Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 4433645500 |
| Mailing Telephone | 8007495191 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C04491 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 COLLEGE AVE |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851324164 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21041-0836 | 2006-07-09 |
| 1710524152 | Benjamin Bradley | Nurse Practitioner | 4100 College Ave, Ellicott City, MD 21043-5506 | 2019-12-04 |
| 1801379094 | Tuerk House Inc | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2018-09-13 |
| 1992107726 | Tuerk House, Inc. | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2014-09-24 |
| 1700287315 | Tuerk House, Inc. | Community/Behavioral Health | 4100 College Ave, Bldg. 8, Ellicott City, MD 21043-5506 | 2014-09-15 |
| 1023445772 | Ameya Umakant Amritwar | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2013-09-26 |
| 1346553039 | Sameer R. Patel | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2010-07-22 |
| 1104053362 | Sandra Onyeagoro | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2009-06-16 |
| 1548452147 | Ariel Antonio Vitali Jr. | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043 | 2007-08-16 |
| 1184836462 | Deoroop Gurprasad | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396100095 | Juan Liu | Physician Assistant | 3820 Bonnybridge Pl, Ellicott City, MD 21043-4133 | 2015-12-22 |
| 1891005484 | Joshua Alan Anderson | Physician Assistant | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2010-10-15 |
| 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 | ELLICOTT CITY |
| Zip Code | 21043 |
Please comment or provide details below to improve the information on NOELLA YEFON SHADZEKA.
| 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.