NEUROLOGY CLINIC OF MARYLAND, INC. (NPI# 1700166360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700166360 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY CLINIC OF MARYLAND, INC. |
| Practice Address |
10770 Hickory Ridge Rd Columbia MD 21044-3646 |
| Practice Telephone | 4109884013 |
| Mailing Telephone | 4109884013 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | DR. SHEETAL HARISH WAGLE (SOLE OWNER) |
| Authorized Official Telephone | 4109884013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | D0072106 | MD | Ambulatory Health Care Facilities |
| Street Address |
10770 HICKORY RIDGE RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447799473 | Community Behavioral Health | Community/Behavioral Health | 10770 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2017-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1285176727 | Intrinsic Chiropractic and Wellness Clinic, LLC | Clinic/Center | 1825 Barnwell St, Columbia, SC 29201-2601 | 2016-11-15 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1265784912 | Aids Healthcare Foundation | Clinic/Center | 4100 N Main St Ste 102, Columbia, SC 29203-5800 | 2012-10-04 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| 1659682938 | Walk In Medical Clinic | Clinic/Center | 900 Rain Forest Pkwy Ste B, Columbia, MO 65202-3796 | 2010-07-01 |
| 1225210420 | Grant Chiropractic Center, Inc | Clinic/Center | 908 Russell Rd, Columbia, KY 42728-1036 | 2007-11-29 |
| 1487846986 | Palmetto Health | Clinic/Center | 14 Richland Medical Park Drive Suite 310, Columbia, SC 29203 | 2007-08-17 |
| Find all providers in COLUMBIA | ||||
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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.