DR. JAN PAUL ZINCKE (NPI# 1497860704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497860704 |
| Entity Type | Individual |
| Full Name | DR. JAN PAUL ZINCKE |
| Practice Address |
4831 Telsa Dr Suite F Bowie MD 20715-4323 |
| Mailing Address |
5530 Wisconsin Ave Suite 820 Chevy Chase MD 20815-4404 |
| Practice Telephone | 2407370080 |
| Practice Fax Number | 3012627530 |
| Mailing Telephone | 3016542521 |
| Mailing Fax Number | 3016542986 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD034750 | DC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | MEDICAL LICENSE | MD034750 | 01 |
| Street Address |
4831 TELSA DR SUITE F |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275597387 | Tu-anh Chu | Pathology | 4831 Telsa Dr, Suite F, Bowie, MD 20715-4323 | 2006-04-14 |
| 1811293822 | Capital Digestive Care LLC | Pathology | 4831 Telsa Dr, Suite F, Bowie, MD 20715-4323 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525159 | Nikita Robinson | Specialist | 12743 Millstream Dr, Bowie, MD 20715-1636 | 2019-12-17 |
| 1528577913 | Laurenee Gauvin-cox | Specialist | 11019 Lake Victoria Ln, Bowie, MD 20720-4272 | 2017-09-28 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1114234978 | A,d. Goldsborough & Associates | Specialist | 15606 Everglade Ln # C301, Bowie, MD 20716-3260 | 2010-08-31 |
| 1497931034 | Amee Marcine Roland | Specialist | 2481 Prospect Rd, Bowie, TX 76230-7404 | 2008-01-14 |
| 1659381127 | Angela Harrison Brantley | Specialist | 3540 Crain Hwy # 500, Bowie, MD 20716-1303 | 2006-08-08 |
| 1346754264 | Healthy Connections Bowie | Specialist | 4000 Mitchellville Rd Ste B322, Bowie, MD 20716-3176 | 2017-11-30 |
| 1619378890 | Pharmacy & Pharmaceutical Services Provider | Specialist | 13202 Steeplechase Dr, Bowie, MD 20715-4542 | 2014-09-08 |
| 1427340397 | D H Cho & Y H Cho Md PC | Specialist | 14999 Health Center Dr, Bowie, MD 20716-1074 | 2011-05-10 |
| 1760789184 | Cardiology Associate, LLC | Specialist | 4175 N Hanson Ct, Suite 100, Bowie, MD 20716-3179 | 2011-02-21 |
| Find all providers in BOWIE | ||||
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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.