MS. MARLA ANN MUHA (NPI# 1629404207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629404207 |
| Entity Type | Individual |
| Full Name | MS. MARLA ANN MUHA |
| Credential | PA-C |
| Practice Address |
301 Hospital Dr # 803 Glen Burnie MD 21061 |
| Mailing Address |
301 Hospital Dr # 803 Glen Burnie MD 21061-5803 |
| Practice Telephone | 4105538160 |
| Practice Fax Number | 4105538159 |
| Mailing Telephone | 4105538160 |
| Mailing Fax Number | 4105538159 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA168081 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C05196 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500672853 | 05 | |
| OR | GROUP MEDICAID NORTH BEND MEDICAL CENTER | 161133 | 01 |
| OR | GROUP TAX ID NORTH BEND MEDICAL CENTER | 93-0635514 | 01 |
| OR | RAILROAD MEDICARE | P01365786 | 01 |
| OR | GROUP MEDICARE NORTH BEND MEDICAL CENTER | R0000WFBTV | 01 |
| OR | GROUP NPI NORTH BEND MEDICAL CENTER | 1407812365 | 01 |
| Street Address |
301 HOSPITAL DR # 803 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061 |
| 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 |
| 1902142839 | Behavioral Healthcare of Maryland | Clinic/Center | 1405 Madison Park Drive Suite 1b, Glen Burnie, MD 21061 | 2012-12-21 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871894808 | Diane Adaku Tackie | Physician Assistant | 1405 Madison Park Dr Ste 1b, Glen Burnie, MD 21061-5864 | 2010-11-08 |
| 1104389345 | Tyler Goldberg | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2019-04-12 |
| 1821587478 | Sara Rae Fissel | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2018-05-08 |
| 1841710332 | Christian Johnson | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2017-06-26 |
| 1538515416 | Anita A. Mbah | Physician Assistant | 85 Kindred Way, Glen Burnie, MD 21061 | 2016-05-10 |
| 1467810267 | Ashlee Victoria Elms | Physician Assistant | 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 | 2016-02-08 |
| 1316316045 | Kiersten Hoefler | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2015-09-23 |
| 1134557366 | Theresa Lohn | Physician Assistant | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 | 2013-10-25 |
| 1124456447 | Alvaro Arango | Physician Assistant | 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 | 2013-10-23 |
| 1235567009 | Abaynesh Negash Desalegn | Physician Assistant | 6934 Aviation Blvd Ste B, Glen Burnie, MD 21061-2593 | 2013-10-14 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on MS. MARLA ANN MUHA.
| 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.