JACOBS PROMISE (NPI# 1700321957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700321957 |
| Entity Type | Organization |
| Organization Name | JACOBS PROMISE |
| Practice Address |
15480 Annapolis Rd Ste 202 Bowie MD 20715-1803 |
| Practice Telephone | 3013927075 |
| Mailing Telephone | 3013927075 |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |
| Authorized Official Name | ERIN WINSTON (BCBA) |
| Authorized Official Telephone | 3015765487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | ZZ 103K00000X | MD | Managed Care Organizations |
| Street Address |
15480 ANNAPOLIS RD STE 202 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319540 | Crimea Baker | Behavioral Analyst | 15480 Annapolis Rd Ste 202, Bowie, MD 20715-1803 | 2016-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154581858 | Starlight Health Services LLC | Exclusive Provider Organization | 12656 Heming Ln, Bowie, MD 20716-1119 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433135 | The Christen Group, Inc. | Exclusive Provider Organization | 16122 Mcconnell Dr, Upper Marlboro, MD 20772-3283 | 2020-09-24 |
| 1619521333 | Kelly Vahey LLC | Exclusive Provider Organization | 11350 Mccormick Rd # Ll10, Hunt Valley, MD 21031-1002 | 2019-07-31 |
| 1104226653 | Skp Family Dental | Exclusive Provider Organization | 7525 Greenway Center Dr Ste 310, Greenbelt, MD 20770-3525 | 2014-09-02 |
| 1083022974 | Professional Sportscare and Rehab | Exclusive Provider Organization | 203 Grindall St, Baltimore, MD 21230-4103 | 2014-07-24 |
| 1720402415 | Darma Inc | Exclusive Provider Organization | 12921 Dunkirk Dr, Upper Marlboro, MD 20772-9303 | 2014-02-14 |
| 1477983468 | Life Spring Counseling and Consultation Services LLC | Exclusive Provider Organization | 6490 Landover Rd Ste I, Cheverly, MD 20785-1443 | 2013-11-12 |
| 1366874570 | Matthew Patrick Momoh | Exclusive Provider Organization | 216 Prenton St, Upper Marlboro, MD 20774-1534 | 2013-07-30 |
| 1972859866 | Ta Health Services | Exclusive Provider Organization | 8839 Stonebrook Ln, Columbia, MD 21046-1415 | 2012-07-28 |
| 1629396809 | Mentoring The Future Inc | Exclusive Provider Organization | 1816 Graybird Ct, Severn, MD 21144-3130 | 2010-05-12 |
| 1629392550 | Jay Stephen Margolis Md Pa | Exclusive Provider Organization | 8502 Topping Rd, Baltimore, MD 21208-1610 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
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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.