THERESA DONOHUE JERUSSI (NPI# 1558510909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558510909 |
| Entity Type | Individual |
| Full Name | THERESA DONOHUE JERUSSI |
| Other Name | THERESA B DONOHUE |
| Credential | MS, PA-C |
| Practice Address |
10 Center Drive Msc 1202 Building 10, Crc Rm 3-5272 Bethesda MD 20892-0001 |
| Practice Telephone | 3015948003 |
| Practice Fax Number | 3014800195 |
| Mailing Telephone | 3015948003 |
| Mailing Fax Number | 3014800195 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0002298 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 CENTER DRIVE MSC 1202 BUILDING 10, CRC RM 3-5272 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20892-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
| 1871096081 | Adilah M. Meredith-kirton | Registered Nurse | National Institute of Mental Health-division Of, Intramural Research Programs Building 35a Suite Ge-400, Bethesda, MD 20892 | 2018-03-14 |
| 1285158840 | Chelsi Lashea Flippo | Pediatrics | 10 Center Drive Msc 1103 Bldg 10crc Rm 2 East -5130, Bethesda, MD 20892 | 2017-07-26 |
| 1235583311 | Jeevan Mathew Puthiamadathil | Student in an Organized Health Care Education/Training Program | 10 Center Dr Bldg 10, Rm B2l312, Bethesda, MD 20892 | 2016-04-14 |
| 1093120156 | Anne Martini | Obstetrics & Gynecology | 10 Center Drive Bldg 10 Room 8n248b Msc 1840, Bethesda, MD 20892 | 2014-06-27 |
| 1962815795 | Changrui Xiao | Internal Medicine | 10 Center Drive Building 10 Crc Room 3-2551 Msc 1205, Bethesda, MD 20892 | 2014-06-10 |
| 1386055085 | Rebecca Persky | Pediatrics | 10 Center Drive Building 10, Room 1nw-2742, Bethesda, MD 20892 | 2014-05-15 |
| 1962829168 | Anna Zenno | Internal Medicine | 10 Center Drive Msc 1103, Bldg 10crc Rm 2 East-5130, Bethesda, MD 20892 | 2014-03-25 |
| 1043550387 | Christine Siegel | Nurse Practitioner | 9030 Old Georgetown Road, Building 82, Room 205, Bethesda, MD 20892 | 2013-02-24 |
| 1124374517 | Arunima Ghosh | Student in an Organized Health Care Education/Training Program | Nih 10, Center Drive, Bldg 10 2n208 Laboratory of Pathology, Bethesda, MD 20892 | 2012-08-03 |
| Find all providers in zip 20892 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306367750 | Charlotte Payne | Physician Assistant | 9000 Rockville Pike Bldg B2l324a, Bethesda, MD 20892-0001 | 2017-07-06 |
| 1073784559 | Kerry Ryan | Physician Assistant | Building 10, Rm 12n226, 10 Center Drive, Bethesda, MD 20892-0001 | 2008-03-12 |
| 1053511576 | Julia C Friend | Physician Assistant | Nci National Institutes of Health 10 Center Dr, Bldg 10/crc 2w-5760, Bethesda, MD 20892-0001 | 2007-07-23 |
| 1043420649 | Kelli Karacki | Physician Assistant | Bg 10 Rm 12n240 10 Center Dr, Bethesda, MD 20892-0001 | 2007-05-23 |
| 1932254356 | Justin Rodante | Physician Assistant | 10 Center Drive Building 10 Crc Msc 1476, Room 5-3140, Bethesda, MD 20892-0001 | 2007-01-24 |
| 1972667061 | Tiffani Nicole Farrey | Physician Assistant | 10 Clinical Center Drive, Bldg 10 Rm 5-1471, Bethesda, MD 20892 | 2006-12-21 |
| 1033286372 | Jose Carreon Balinas | Physician Assistant | Walter Reed National Military Medical Center, Bldg 7, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600 | 2006-11-30 |
| 1174567283 | Narda Davis | Physician Assistant | 8901 Wisonsin Ave, Bethesda, MD 20889-0001 | 2006-06-16 |
| 1639146152 | Allison Ann Beck | Physician Assistant | 9000 Rockville Pike Msc 1912 Building 10, Rm 5-2440, Bethesda, MD 20892-1705 | 2006-03-02 |
| 1063413342 | Paul Richard Cauchon | Physician Assistant | Internal Medicine Clinic N.n.m.c., Bldg 19, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-08-09 |
| Find all providers in BETHESDA | ||||
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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.