CHIDIADI AGOH (NPI# 1710370945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710370945 |
| Entity Type | Individual |
| Full Name | CHIDIADI AGOH |
| Practice Address |
1447 York Rd Ste 506 Lutherville MD 21093-6022 |
| Mailing Address |
6110 Main St Lanham MD 20706-2749 |
| Practice Telephone | 4108252281 |
| Mailing Telephone | 3017319888 |
| Mailing Fax Number | 3016814699 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R185364 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R185364 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12073 Tech Rd, Suite B, Silver Spring, MD 209047873 | 2406914953 | 3016814999 |
| 1407 York Rd Ste 310, Lutherville, MD 210936054 | 4108252281 | 4108252280 |
| Street Address |
1447 YORK RD STE 506 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396779385 | Jeffrey A Lafferman | Legal Medicine | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2006-07-10 |
| 1528606175 | Jennifer Vine Dutrow | Social Worker | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2019-12-13 |
| 1700432689 | Eselle Mathias Molua | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2019-08-15 |
| 1477016699 | Sybil Smith-gray | Psychologist | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2019-04-14 |
| 1447729058 | Gennaro Marenga | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093 | 2018-11-13 |
| 1548735525 | Nelia Sarmiento | Psychiatry & Neurology | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2018-10-05 |
| 1891281804 | Bettina Rose D'andrea | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2018-07-03 |
| 1043769979 | Kristi Hall | Psychologist | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2016-10-04 |
| 1205263985 | Kimberly Perrone | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2013-09-26 |
| 1518119312 | Barbara Lee | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2008-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407211543 | Branden Donell Taylor | Nurse Practitioner | 1407 York Rd Suite 310, Lafferman and Associates, Lutherville, MD 21093 | 2015-12-16 |
| 1487899167 | Olivia P Radcliffe | Nurse Practitioner | 1740 York Rd, Suite 309, Lutherville, MD 21093-5606 | 2008-12-09 |
| 1619518206 | Vera Garnett | Nurse Practitioner | 1447 York Rd, Lutherville, MD 21093-6017 | 2019-10-04 |
| 1700432689 | Eselle Mathias Molua | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2019-08-15 |
| 1447729058 | Gennaro Marenga | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093 | 2018-11-13 |
| 1891281804 | Bettina Rose D'andrea | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2018-07-03 |
| 1952813172 | Katherine Anne Zietlow | Nurse Practitioner | 2328 W Joppa Rd, Lutherville, MD 21093-4612 | 2017-10-27 |
| 1134508500 | Lisa M Vandemark | Nurse Practitioner | 1407 York Rd, Suite 310, Lutherville, MD 21093-6097 | 2015-05-19 |
| 1518119312 | Barbara Lee | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2008-10-13 |
| 1730361510 | Mary Ann Wippel | Nurse Practitioner | 1447 York Rd Ste 506, Lutherville, MD 21093-6022 | 2007-12-03 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
Please comment or provide details below to improve the information on CHIDIADI AGOH.
| 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.