SANDY GAY WIESE (NPI# 1407477383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407477383 |
| Entity Type | Individual |
| Full Name | SANDY GAY WIESE |
| Credential | CRNP |
| Practice Address |
18101 Prince Philip Dr Olney MD 20832-1514 |
| Mailing Address |
6 Westridge Dr Mount Airy MD 21771-7511 |
| Practice Telephone | 3017748887 |
| Mailing Telephone | 2402044012 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R205784 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18101 PRINCE PHILIP DR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922341 | Montgomery General Hospital, Inc. | General Acute Care Hospital | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2005-06-15 |
| 1922619402 | Casey Lee Yelton | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-08-10 |
| 1053952531 | Letha Menon Sunil | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-10-04 |
| 1588211106 | Rachel Danielle Teicher | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-08-19 |
| 1871146928 | Alexandria Daniel | Emergency Medicine | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-07-18 |
| 1053874321 | Medstar Medical Group II LLC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-04-12 |
| 1699247395 | Benjamin Labovitz | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-12-19 |
| 1659846269 | Julie Martina Perta | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-10-10 |
| 1760994925 | Amanda Freese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-10-27 |
| 1124556857 | Maria M Araneta | Physician Assistant | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437422862 | Sandra L Davis | Nurse Practitioner | 18007 Brooke Farm Dr, Olney, MD 20832-1517 | 2012-02-15 |
| 1922619402 | Casey Lee Yelton | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2020-08-10 |
| 1699247395 | Benjamin Labovitz | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2018-12-19 |
| 1760994925 | Amanda Freese | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2017-10-27 |
| 1386005692 | Chaya Milikowsky | Nurse Practitioner | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2016-03-14 |
| 1912023482 | Niemah L Chapman | Nurse Practitioner | 2901 Olney Sandy Spring Rd, Olney, MD 20832-1521 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
| 1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
| 1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
| 1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
| 1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
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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.