DR. LISA MICHELLE SLOAT (NPI# 1417942541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417942541 |
Entity Type | Individual |
Full Name | DR. LISA MICHELLE SLOAT |
Credential | M.D. |
Practice Address |
8450 Dorsey Run Rd Jessup MD 20794-9486 |
Mailing Address |
8529 High Ridge Rd Ellicott City MD 21043-3307 |
Practice Telephone | 4107243088 |
Practice Fax Number | 4107243079 |
Mailing Telephone | 4104095763 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
D0059965 | MD | Allopathic & Osteopathic Physicians |
Street Address |
8450 DORSEY RUN RD |
City | JESSUP |
State | MD |
Zip Code | 20794-9486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275530081 | Marie A Mackowick | Pharmacist | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2005-07-07 |
1174934673 | Clifton T Perkins Hospital | Pharmacy | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2014-05-19 |
1578829081 | Uchenna John Achebe | Student in an Organized Health Care Education/Training Program | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2012-04-09 |
1780992180 | Nicole Marie Ford | Social Worker | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2010-09-20 |
1962668988 | Amanda Denise Cook Zivic | Psychiatry & Neurology | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2008-07-29 |
1659546984 | Inna Taller | Psychiatry & Neurology | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2008-04-28 |
1134323694 | Khalid El-sayed | Student in an Organized Health Care Education/Training Program | 8450 Dorsey Run Rd, Forensic Psychiatry Fellowship / Pre-trial Division, Jessup, MD 20794-9486 | 2007-06-11 |
1912994948 | Srirupa Ghoshtagore | Psychiatry & Neurology | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2005-10-04 |
1629065800 | Pedro J Coto | Legal Medicine | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2005-10-03 |
1316934755 | Syed Mohiuddin Karim | Internal Medicine | 8450 Dorsey Run Rd, C.t. Perkins Hospital Center, Jessup, MD 20794-9486 | 2005-09-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801399373 | Marnette Valcin | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-03-12 |
1629508478 | Maryland Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 7650 Port Capital Drive, Jessup, MD 20794 | 2017-06-14 |
1326446980 | Matthew Carpenter | Physician Assistant | 7805 House of Correction Rd., Jessup, MD 20794 | 2014-12-15 |
1053753616 | Bollman Bridge Elementary School-based Wellness Center | Clinic/Center | 8200 Savage-guilford Road, Jessup, MD 20794 | 2013-07-24 |
1962760199 | Mesfin T Frew | Physician Assistant | 755 Waterloo Road, Jessup, MD 20794 | 2012-04-25 |
1730462920 | Grady Foster Jr. | Dentist | 7804 Maryland House of Correction Road, Jessup, MD 20794 | 2011-09-23 |
1528211794 | Brian Byung Woo Choi | Dentist | 7800 House of Correction Road, Jessup, MD 20794 | 2008-10-31 |
1659315851 | Family Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8610 Baltimore Washington Blvd, Suite 110, Jessup, MD 20794 | 2006-06-16 |
1568941797 | Motunrayo Omoloye Adegorusi | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-08-08 |
1104346006 | Charity Allwell | Registered Nurse | 7365 Cedar Ave, Jessup, MD 20794 | 2017-06-21 |
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Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659546984 | Inna Taller | Psychiatry & Neurology | 8450 Dorsey Run Rd, Jessup, MD 20794-9486 | 2008-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
1407125594 | Gayle Jordan-randolph | Psychiatry & Neurology | 920 Saint Paul St Apt 2, Baltimore, MD 21202-6512 | 2011-12-20 |
1710277256 | James Edward Wicht IIi | Psychiatry & Neurology | 5202 Carlton St, Bethesda, MD 20816-2306 | 2011-04-18 |
1245436484 | Stephen Warner Siebert | Psychiatry & Neurology | 29 Allegheny Avenue, Ste 1208, Towson, MD 21204-3919 | 2007-06-25 |
1629271127 | Solomon Daniel Meltzer | Psychiatry & Neurology | 10411 Motor City Dr Ste 750, Bethesda, MD 20817-1289 | 2007-06-11 |
1558400630 | Robert Carl Mckenzie | Psychiatry & Neurology | 6013 Johnson Ave, Bethesda, MD 20817-3434 | 2007-02-06 |
1811034705 | Gregory Charles Fey | Psychiatry & Neurology | 104a Annapolis St, Annapolis, MD 21401-1310 | 2007-01-31 |
1992819536 | Willie Hamlin | Psychiatry & Neurology | 1306 Midwood Pl, Silver Spring, MD 20910-1645 | 2006-08-19 |
1598780603 | Trevia F Hayden | Psychiatry & Neurology | 97 Thomas Johnson Dr Ste 102, Frederick, MD 21702-4379 | 2006-07-12 |
1700866092 | Thomas A. Grieger | Psychiatry & Neurology | 10102 Country Club Road, Thomas B Finan Center, Cumberland, MD 21502 | 2006-01-20 |
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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.