MS. REBECCA GRACE ILGEN (NPI# 1801852017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801852017 |
| Entity Type | Individual |
| Full Name | MS. REBECCA GRACE ILGEN |
| Credential | PAC |
| Practice Address |
201 Hall Highway Crisfield MD 21817 |
| Practice Telephone | 4109681200 |
| Practice Fax Number | 4109683005 |
| Mailing Telephone | 4109681200 |
| Mailing Fax Number | 4109683005 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0000562 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 HALL HIGHWAY |
| City | CRISFIELD |
| State | MD |
| Zip Code | 21817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801874300 | Terry H Passano | Dietitian, Registered | 201 Hall Highway, Crisfield, MD 21817 | 2006-01-04 |
| 1740519784 | Ma Amil Perilla | Physical Therapist | 201 Hall Highway, Crisfield, MD 21817 | 2009-12-22 |
| 1376701235 | Beverly Dawn Beckett | Occupational Therapist | 201 Hall Highway, Mccready Foundation Inc, Crisfield, MD 21817-1237 | 2008-05-28 |
| 1669649430 | Colette Naime Outten | Physical Therapist | 201 Hall Highway, Mccready Foundation Inc, Crisfield, MD 21817-1237 | 2008-05-12 |
| 1003083874 | Tory Custis Widdowson Iv | Physical Therapist | 201 Hall Highway, Mccready Foundation Inc, Crisfield, MD 21817-1237 | 2008-05-12 |
| 1356309025 | Gunta A Wheeler | Emergency Medicine | 201 Hall Highway, Crisfield, MD 21817-1237 | 2006-05-03 |
| 1740247162 | Sidney Barnes | Surgery | 201 Hall Highway, Crisfield, MD 21817 | 2006-04-28 |
| 1881651172 | Michael Reese Atkins | Internal Medicine | 201 Hall Highway, Crisfield, MD 21817 | 2006-04-28 |
| 1174589535 | Patricia T Bratek | Nurse Anesthetist, Certified Registered | 201 Hall Highway, Crisfield, MD 21817 | 2006-04-25 |
| 1174589386 | Vijaykumar Karumbunathan | Internal Medicine | 201 Hall Highway, Crisfield, MD 21817 | 2006-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396055539 | Heather Lee Shelton | Social Worker | 382 W. Main Street, Crisfield, MD 21817 | 2010-10-20 |
| 1336326271 | Kevin James Marsh | Counselor | 19 Mill Lane, Crisfield, MD 21817 | 2008-01-23 |
| 1770671513 | Bruce Cluff Ramsay | Dentist | 26380 Asbury Ave, Crisfield, MD 21817 | 2006-10-10 |
| 1972581825 | Somerset Health Services LLC | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-01-02 |
| 1568454239 | Frank E Goldman | Pharmacist | Mccready Memorial Hospital, 201 Hall Highway, Crisfield, MD 21817 | 2005-08-18 |
| 1962593699 | Shah Mohammed Yahya | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-09-27 |
| 1841205242 | Libertad Holazo Escalante | Pediatrics | 324 W Main St, Crisfield, MD 21817 | 2006-07-31 |
| 1023058062 | Mccready Foundation, Inc | Anesthesiology | 201 Hall Hwy, Crisfield, MD 21817 | 2006-06-07 |
| 1336251529 | Lower Somerset Ambulance and Rescue | Ambulance | 2 Mill Ln, Crisfield, MD 21817-0406 | 2006-08-31 |
| 1285825265 | Betsy C. Anderson | Licensed Practical Nurse | 64 Maryland Ave, Crisfield, MD 21817-1128 | 2007-08-06 |
| Find all providers in zip 21817 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
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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.