SAMORA CHARLES LUNGU (NPI# 1699231563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699231563 |
| Entity Type | Individual |
| Full Name | SAMORA CHARLES LUNGU |
| Practice Address |
8600 Old Georgetown Rd Bethesda MD 20814-1422 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 0000000000 |
| Mailing Telephone | 3476715735 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C07477 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 369 S Highland St Apt 101, Memphis, TN 381111559 | 3476715735 |
| Street Address |
8600 OLD GEORGETOWN RD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311035 | Steven Wilks | Family Medicine | 8600 Old Georgetown Rd, Attn: Medical Staff Office/angela Speck, Bethesda, MD 20814-1422 | 2005-07-29 |
| 1730793506 | Precious Chinagoro Ohagwu | Pharmacist | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2020-08-31 |
| 1124637418 | Umair Ansari | Pharmacist | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2020-07-23 |
| 1457989949 | Hajafatmata Binta Bah | Family Medicine | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2020-03-30 |
| 1801423413 | Karalyn Rabin | Registered Nurse | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2020-03-24 |
| 1952942666 | Reza Moghaddasnia | Surgery | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-10-03 |
| 1578104691 | Jordan Leigh Kestler | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2019-09-30 |
| 1306496856 | Carlyn Marie Russell | Nurse Practitioner | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-09-17 |
| 1144880477 | Olivia Tullier | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-06-18 |
| 1982160891 | Blaine Gray | Nurse Practitioner | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1497069249 | Anthony Faugeres Emmanuel | Physician Assistant | 6400 Goldsboro Road Suite 400, Massachusetts Ave Surgery Center, Bethesda, MD 20817 | 2010-08-04 |
| 1962734814 | Chevy Chase Surgical Partners LLC | Physician Assistant | 6430 Rockledge Dr Ste 510, Bethesda, MD 20817-7893 | 2010-02-03 |
| 1295968956 | Frederic Gregory Martinez | Physician Assistant | 6400 Goldsboro Rd., Suite 400, Bethesda, MD 20817-5846 | 2009-08-28 |
| 1497380968 | Embriel LLC | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2020-03-05 |
| 1346749900 | Alessandra Fitzpatrick | Physician Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2018-02-08 |
| 1144673443 | Lara Lindgren | Physician Assistant | 10215 Fernwood Rd Ste 506, Bethesda, MD 20817-1184 | 2016-07-21 |
| 1518352442 | Przemyslaw Krzyzanowski | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2015-03-30 |
| 1003256942 | Jonathan Michael Hjort | Physician Assistant | 6400 Goldsboro Rd, Suite 400, Bethesda, MD 20817-5826 | 2013-06-25 |
| 1053651711 | Rachel N Dhyani | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2013-02-18 |
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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.