DR. MARJORIE BERNADETTE GWYNN (NPI# 1619945557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619945557 |
| Entity Type | Individual |
| Full Name | DR. MARJORIE BERNADETTE GWYNN |
| Credential | MD |
| Practice Address |
7671 Quarterfield Road Suite 200 Glen Burnie MD 21061 |
| Practice Telephone | 4107660111 |
| Practice Fax Number | 4105829155 |
| Mailing Telephone | 4107660111 |
| Mailing Fax Number | 4105829155 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0057741 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 699816000 | 05 |
| Street Address |
7671 QUARTERFIELD ROAD SUITE 200 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467110 | M. Cornelious Musara | Surgery | 7671 Quarterfield Road, Suite 302, Glen Burnie, MD 21060 | 2006-02-21 |
| 1619246659 | Antares Medical LLC | Surgery | 7671 Quarterfield Road, Suite 302, Glen Burnie, MD 21061 | 2011-12-20 |
| 1770896532 | Justin G. Adrien | Physician Assistant | 7671 Quarterfield Road, Suite 200, Glen Burnie, MD 21061 | 2010-07-22 |
| 1033252390 | Marianne E Dawn | Dermatology | 7671 Quarterfield Road, Suite 200, Glen Burnie, MD 21061 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| 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 |
|---|---|---|---|---|
| 1982133120 | William Sanders | Specialist | 7310 Ritchie Hwy Ste 315, Glen Burnie, MD 21061-3089 | 2017-06-10 |
| 1982137733 | Linda M Redman | Specialist | 138 Foxchase Dr, Glen Burnie, MD 21061-6319 | 2017-04-08 |
| 1346511573 | Ladonna Robinson | Specialist | 656 Charante Ct, Apt 204, Glen Burnie, MD 21061-4760 | 2012-01-19 |
| 1316169758 | Cheryl Lundeberg Lonergan | Specialist | 810 Landmark Dr., Suite 217, Glen Burnie, MD 21061 | 2007-05-03 |
| 1821005059 | Paul A Tarantino, M.d.,p.a. | Specialist | 1403 Madison Park Dr, Suite 100, Glen Burnie, MD 21061-5613 | 2006-08-01 |
| 1831145903 | Arnold Seth Kirshenbaum | Specialist | 7310 Ritchie Highway, Suite 313, Glen Burnie, MD 21061 | 2006-05-26 |
| 1518935485 | Richard Gordon Pfau | Specialist | 810 Landmark Dr Ste 117-119, Glen Burnie, MD 21061-4987 | 2006-03-08 |
| 1043286271 | Ashok Krishnaswamy | Specialist | 7102 Ritchie Hwy, Glen Burnie, MD 21061-2904 | 2006-02-27 |
| 1255304788 | Ebube Ejike Odunukwe | Specialist | 7310 Ritchie Hwy., Suite #519, Glen Burnie, MD 21061-3106 | 2006-02-07 |
| 1811977051 | Harjit S Bajaj | Specialist | 325 Hospital Dr Ste 104, Glen Burnie, MD 21061-5806 | 2006-01-21 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on DR. MARJORIE BERNADETTE GWYNN.
| 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.