SUSAN E JENKINS, M.D.P.A. (NPI# 1750696779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750696779 |
| Entity Type | Organization |
| Organization Name | SUSAN E JENKINS, M.D.P.A. |
| Practice Address |
1450 Mercantile Ln Suite 117 Largo MD 20774-5376 |
| Practice Telephone | 3015830500 |
| Mailing Telephone | 3015830500 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-09-03 |
| Authorized Official Name | DR. SUSAN EILEEN JENKINS (OWNER) |
| Authorized Official Telephone | 2404606044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
D0038258 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1942299417 | 01 |
| Street Address |
1450 MERCANTILE LN SUITE 117 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070261 | David A Gooray | Internal Medicine | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2005-08-19 |
| 1497287361 | Holistic Health & Wellness Medical Spa | Physical Therapist | 1450 Mercantile Ln, 221, Largo, MD 20774-5376 | 2017-03-30 |
| 1831640465 | Anne Arundel Physician Group LLC | Dietitian, Registered | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2016-10-19 |
| 1427505825 | Holistic Health and Wellness Medical Spa | Nurse Practitioner | 1450 Mercantile Ln, Suite 221, Largo, MD 20774-5376 | 2016-09-02 |
| 1972903201 | Heritage Pediatrics, Inc. | Pediatrics | 1450 Mercantile Ln, Suite #217, Largo, MD 20774-5376 | 2014-08-22 |
| 1316372931 | Anne Arundel Physician Group, LLC | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2013-09-13 |
| 1679821458 | Meetu Agrawal | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2012-08-27 |
| 1316232135 | Jatin R Matta | Physician Assistant | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2011-06-09 |
| 1922249200 | Lisa V. Thompson, Dds, LLC | Clinic/Center | 1450 Mercantile Ln, Suite 207a, Largo, MD 20774-5376 | 2009-03-16 |
| 1992998975 | East Coast Gastroenterology LLC | Pathology | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881996247 | Catherine Cozad, M.d., P.a. | Obstetrics & Gynecology | 8787 Bryan Dairy Rd, Suite 250, Largo, FL 33777-1251 | 2010-11-17 |
| 1366743866 | Debra Hemsath, M.d., P.a. | Obstetrics & Gynecology | 8787 Bryan Dairy Rd, Suite 250, Largo, FL 33777-1251 | 2010-11-15 |
| 1942299417 | Susan E Jenkins | Obstetrics & Gynecology | 1450 Mercantile Ln, Suite 117, Largo, MD 20774-5376 | 2005-10-18 |
| 1154317592 | Catherine Louise Cozad | Obstetrics & Gynecology | 8787 Bryan Dairy Rd, Suite 250, Largo, FL 33777-1251 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356981492 | Affiliated Reproductive Health Clinics Inc | Obstetrics & Gynecology | 10401 Old Georgetown Rd Ste 208, Bethesda, MD 20814-1911 | 2020-01-07 |
| 1588161269 | Advanced Menstrual Care Center LLC | Obstetrics & Gynecology | 8601 La Salle Rd Ste 104, Towson, MD 21286-2005 | 2018-04-10 |
| 1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
| 1407218480 | Nancy P Youssefi | Obstetrics & Gynecology | 7350 Van Dusen Rd Ste B20, Laurel, MD 20707-5239 | 2016-03-28 |
| 1992174221 | Elite Surgical Services, LLC | Obstetrics & Gynecology | 10518 Tanager Ln, Potomac, MD 20854-6315 | 2015-09-16 |
| 1902298953 | Lisa G Rubin, Md., LLC | Obstetrics & Gynecology | 1122 Kenilworth Dr Ste 401, Towson, MD 21204-2147 | 2015-02-27 |
| 1114269750 | Ann Peters | Obstetrics & Gynecology | 7600 Osler Dr Ste 200, Baltimore, MD 21204 | 2013-03-21 |
| 1598025009 | Kristina Torrence | Obstetrics & Gynecology | 1165 Imperial Dr Ste 300, Hagerstown, MD 21740-6556 | 2012-05-18 |
| 1912298340 | David Mervyn Margulies | Obstetrics & Gynecology | 8231 Bradley Blvd, Bethesda, MD 20817-1911 | 2011-04-19 |
| 1487967188 | Stanley C Marinoff | Obstetrics & Gynecology | 5600 Wisconsin Ave, 601, Chevy Chase, MD 20815-4405 | 2010-07-22 |
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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.