MS. ELIZABETH ANNE VAN DERMARK (NPI# 1497888226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497888226 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANNE VAN DERMARK |
| Other Name | ELIZABETH WHITTINGTON |
| Credential | CRNP-A, WH |
| Practice Address |
75 Thomas Johnson Dr Suite C Frederick MD 21702-4895 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031-1002 |
| Practice Telephone | 3016200012 |
| Practice Fax Number | 3016209687 |
| Mailing Telephone | 3016200012 |
| Mailing Fax Number | 3016209687 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R086553 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R086553 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 THOMAS JOHNSON DR SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768764 | Everett T. Hart | Otolaryngology | 75 Thomas Johnson Dr, Ste B, Frederick, MD 21702-4895 | 2005-05-23 |
| 1811281322 | Jennifer Hair | Genetic Counselor, MS | 75 Thomas Johnson Dr, Suite G, Frederick, MD 21702-4895 | 2011-06-01 |
| 1669764114 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2011-05-03 |
| 1710286190 | Center for Pain Management, LLC | Pain Medicine | 75 Thomas Johnson Dr, Ste C, Frederick, MD 21702-4895 | 2011-03-24 |
| 1669785457 | Frederick Foot & Ankle Surgery Center LLC | Clinic/Center | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2010-07-21 |
| 1326351776 | George I Smith | Internal Medicine | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2010-07-14 |
| 1598085011 | Leota Lifestar LLC | Counselor | 75 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4895 | 2010-06-07 |
| 1417106998 | Family Mri Inc. | Radiology | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2008-09-09 |
| 1669669818 | Tuckey and Associates Physical Therapy, LLC | Physical Therapist | 75 Thomas Johnson Dr, Frederick, MD 21702-4895 | 2007-10-02 |
| 1528191368 | M Jean Giove | Physical Therapist | 75 Thomas Johnson Dr, Suite M, Frederick, MD 21702-4895 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877279 | Katherine O'bryan | Nurse Practitioner | 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 | 2020-06-27 |
| 1902290935 | Christianna Joyce Mayberry | Nurse Practitioner | 3913 Shawfield Ln, Frederick, MD 21704-7906 | 2015-03-27 |
| 1992097265 | Amy Fox | Nurse Practitioner | 6695 Stoneridge Ct., Frederick, MD 21702 | 2011-05-05 |
| 1508162306 | Shirley Coffie | Nurse Practitioner | 1050 Key Parkway, Suite 103, Frederick, MD 21702 | 2011-01-27 |
| 1366601361 | Melissa Ramey Bolden | Nurse Practitioner | 8927 Fingerboard Rd, Suite E, Frederick, MD 21704-8164 | 2008-06-04 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1639161367 | Kathryn A. Fletcher | Nurse Practitioner | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2005-08-18 |
| 1619583200 | Md Matt LLC | Nurse Practitioner | 309 E Patrick St, Frederick, MD 21701-6792 | 2020-09-18 |
| 1508428103 | Constance Maria Derosa | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702-4920 | 2019-07-03 |
| 1700332616 | Callie Lesher | Nurse Practitioner | 347 Ballenger Center Dr, Frederick, MD 21703-7095 | 2016-08-31 |
| Find all providers in FREDERICK | ||||
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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.