JENNIFER COLONNA (NPI# 1790107100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790107100 |
| Entity Type | Individual |
| Full Name | JENNIFER COLONNA |
| Practice Address |
101 Chesapeake Blvd Ste B Elkton MD 21921 |
| Mailing Address |
101 Chesapeake Blvd Ste B Elkton MD 21921-6607 |
| Practice Telephone | 4433038987 |
| Practice Fax Number | 4432453464 |
| Mailing Telephone | 4433038987 |
| Mailing Fax Number | 4437150020 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104269604 | Jennifer M Colonna | Physical Therapist | 1037 Route 70, Manchester, NJ 08759-5806 | 2013-04-15 |
| Street Address |
101 CHESAPEAKE BLVD STE B |
| City | ELKTON |
| State | MD |
| Zip Code | 21921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629053046 | Hien Quang Nguyen | Surgery | 101 Chesapeake Blvd Ste B, Elkton, MD 21921-6607 | 2005-12-08 |
| 1730663774 | New Health of North East, LLC | Specialist | 101 Chesapeake Blvd Ste B, Elkton, MD 21921 | 2018-09-15 |
| 1700050937 | Mid-atlantic Pain Institute Pa | Physical Medicine & Rehabilitation | 101 Chesapeake Blvd Ste B, Elkton, MD 21921 | 2008-04-18 |
| 1790849362 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 101 Chesapeake Blvd Ste B, Elkton, MD 21921 | 2006-12-20 |
| 1043323827 | Kamakshi Neelkantan | Pediatrics | 101 Chesapeake Blvd Ste B, Elkton, MD 21921-6607 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791104 | Capital Region Surgical Assistants LLC | Specialist/Technologist, Other | 903 Hillside Lake Ter Apt 605, Gaithersburg, MD 20878-5242 | 2020-08-18 |
| 1083186217 | A1 Surgical Services L.L.C. | Specialist/Technologist, Other | 6710 Oxon Hill Rd #150, Oxon Hill, MD 20746 | 2018-12-28 |
| 1124511209 | Alana Marie Burkett | Specialist/Technologist, Other | 2984 Kincaid Dr, Saint Charles, MD 20603-5784 | 2018-06-12 |
| 1699294405 | Sam Sahel Meftah | Specialist/Technologist, Other | 5408 Bradley Blvd, Bethesda, MD 20814-1002 | 2017-09-12 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1528583218 | Angel Gustavo Barrera Ventura | Specialist/Technologist, Other | 6611 Chestnut Ave, Lanham, MD 20706-1025 | 2017-08-03 |
| 1285155051 | 360 Surgical Services LLC | Specialist/Technologist, Other | 3206 Tower Oaks Blvd Ste 100, Rockville, MD 20852-4255 | 2017-07-03 |
| 1902332539 | Michael Younger | Specialist/Technologist, Other | 12502 Willowbrook Rd Ste 590, Cumberland, MD 21502-6594 | 2017-05-02 |
| 1407391501 | Mariona Walker | Specialist/Technologist, Other | 11404 Dunloring Pl, Upper Marlboro, MD 20774-5757 | 2016-12-28 |
| 1114476470 | Jhony Augustin | Specialist/Technologist, Other | 1904 Hampshire Dr, Hyattsville, MD 20783-2030 | 2016-09-28 |
| 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.