QUEEN ANNE'S MEDICAL CENTER, LLC (NPI# 1407359532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407359532 |
| Entity Type | Organization |
| Organization Name | QUEEN ANNE'S MEDICAL CENTER, LLC |
| Practice Address |
2108 Rear Didonato Drive Chester MD 21619 |
| Practice Telephone | 4106436205 |
| Practice Fax Number | 4106436945 |
| Mailing Telephone | 4106436710 |
| Mailing Fax Number | 4106436945 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. GARY JOHN SPROUSE (PHYSICIAN) |
| Authorized Official Telephone | 4106436710 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D32036 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Time Sq, Salisbury, MD 218012808 | 4107492474 | 4107498260 |
| 109 Williamsport Cir, Salisbury, MD 218046472 | 4106436205 | |
| 1110 Healthway Dr, Salisbury, MD 218044476 | 4107134094 | |
| 204 N Main St, Greensboro, MD 216391453 | 4106436205 | |
| 205 Armstrong St, Centreville, MD 216172125 | 4107582323 | |
| 300 Lemmon Hill Ln, Salisbury, MD 218014239 | 4107421432 | 4107429529 |
| 410 Colonial Dr, Denton, MD 216293055 | 4104792273 |
| Street Address |
2108 REAR DIDONATO DRIVE |
| City | CHESTER |
| State | MD |
| Zip Code | 21619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
| 1235101981 | Rozalyn Kay Moore | Physical Therapist | 1630 Main St Ste 110, Chester, MD 21619 | 2006-02-06 |
| Find all providers in zip 21619 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659844884 | Prime Md, PC | Internal Medicine | 115 Route 206, Chester, NJ 07930 | 2019-01-10 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1306374137 | Rahul Patel | Internal Medicine | 1 Medical Center Blvd Dept Of, Chester, PA 19013-3902 | 2017-05-24 |
| 1306246640 | Oliver Winter | Internal Medicine | 61 Winthrop Rd, Chester, CT 06412-1036 | 2014-08-22 |
| 1154553568 | Joseph James Cillo | Internal Medicine | 26 Furnace Rd, Chester, NJ 07930-2080 | 2009-08-18 |
| 1205066123 | Nathan Spiegel | Internal Medicine | 32 Cooper Lane, Chester, NJ 07930 | 2009-07-27 |
| 1912115122 | Brian Michael Timura | Internal Medicine | 172 Green Mountain Tpke, Chester, VT 05143-8863 | 2007-05-19 |
| 1932245933 | Carl Lynn Pierce Jr. | Internal Medicine | 500 W 9th St, Chester, PA 19013-4038 | 2007-01-29 |
| 1952465239 | Christopher F Hannum | Internal Medicine | 920 Yarnall St, Chester, PA 19013-2652 | 2006-12-20 |
| 1790862746 | Amjad Iqbal Mughal | Internal Medicine | 12109 Hogans Aly, Chester, VA 23836-8611 | 2006-11-01 |
| Find all providers in CHESTER | ||||
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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.