RUSTY MASON JR. (NPI# 1750787263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750787263 |
| Entity Type | Individual |
| Full Name | RUSTY MASON JR. |
| Credential | CDL |
| Practice Address |
2001 Burgess Pl Forestville MD 20747-1200 |
| Mailing Address |
Po Box 471353 District Heights MD 20753-1353 |
| Practice Telephone | 2029716760 |
| Mailing Telephone | 2029716760 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | M250751019101 | MD | Other Service Providers |
| N | 102X00000X | Poetry Therapist | Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
2001 BURGESS PL |
| City | FORESTVILLE |
| State | MD |
| Zip Code | 20747-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644586 | Madinatu Deen | Driver | 8531a Greenbelt Rd Apt 102, Greenbelt, MD 20770-2323 | 2020-09-21 |
| 1740893338 | Dana Yvetta Martin | Driver | 14256 Arbor Forest Dr, Rockville, MD 20850-7477 | 2020-08-25 |
| 1386255917 | Kenneth Merritt | Driver | 10040 Whittle Ct, White Plains, MD 20695-4233 | 2020-08-17 |
| 1184249633 | Breona Chanel Washington | Driver | 6974 Walker Mill Rd Apt A1, Capitol Heights, MD 20743 | 2020-06-10 |
| 1386287738 | Menbere Asmare | Driver | 5025 Clifford Rd, Perry Hall, MD 21128-9113 | 2019-10-17 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1790341717 | Regina G Cherry | Driver | 4514 Bridle Ridge Rd, Upper Marlboro, MD 20772-8154 | 2019-05-15 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1801366679 | Saved Access LLC | Driver | 8604 Holly Pond Pl, Gaithersburg, MD 20886-4941 | 2018-12-05 |
| 1770053183 | Ibis Community Services LLC | Driver | 1738 Elton Rd Ste 200b, Silver Spring, MD 20903-1725 | 2018-11-28 |
| Find all providers with the same taxonomy | ||||
| City | FORESTVILLE |
| Zip Code | 20747 |
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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.