MR. SHAYNE D BRADFORD (NPI# 1841251386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841251386 |
| Entity Type | Individual |
| Full Name | MR. SHAYNE D BRADFORD |
| Credential | PA-C |
| Practice Address |
7505 Osler Dr Suite 506 Towson MD 21204-7736 |
| Mailing Address |
25 Crossroads Dr Suite 306 Owings Mills MD 21117-5421 |
| Practice Telephone | 4105811600 |
| Mailing Telephone | 4437382872 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0001923 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE PROVIDER # | 970005969 | 01 |
| MD | R/R MEDICARE GROUP # | CN6601 | 01 |
| Street Address |
7505 OSLER DR SUITE 506 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102357 | Mark A. Goldstein | Internal Medicine | 7505 Osler Dr, Ste 103, Towson, MD 21204-7737 | 2005-05-31 |
| 1518527704 | Koulward Health LLC Population Health Pharmacy | Pharmacy | 7505 Osler Dr, Towson, MD 21204-7736 | 2019-06-19 |
| 1598137044 | Kam Keung Chan | Pharmacist | 7505 Osler Dr, Towson, MD 21204-7736 | 2015-10-23 |
| 1043600075 | Deborah Schrader | Pharmacist | 7505 Osler Dr, Towson, MD 21204-7736 | 2015-01-29 |
| 1265834915 | Samantha Gealoris | Dietitian, Registered | 7505 Osler Dr, O'dea Building Suite 310, Towson, MD 21204-7736 | 2014-09-24 |
| 1033524889 | Timothy Lubin | Pharmacist | 7505 Osler Dr, #102, Towson, MD 21204-7736 | 2014-06-30 |
| 1184047664 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7505 Osler Dr, Towson, MD 21204-7736 | 2014-02-04 |
| 1881034833 | Lauren Edelman | Physician Assistant | 7505 Osler Dr, Suite 302, Towson, MD 21204-7736 | 2013-07-04 |
| 1295089464 | Towson South Surgical Center, LLC | Clinic/Center | 7505 Osler Dr, Ste 508, Towson, MD 21204-7736 | 2012-11-09 |
| 1043579899 | Liana G Chotikul | Nurse Practitioner | 7505 Osler Dr, Ste 104, Towson, MD 21204-7736 | 2012-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932504578 | Leiming Wang | Physician Assistant | 7601 Osler Drive, Cardiac Or, Towson, MD 21204 | 2014-10-24 |
| 1457828485 | Brett Andrew Getlan | Physician Assistant | 7601 Osler Dr, Towson, MD 21204-7700 | 2018-10-29 |
| 1790019974 | Lun Chen | Physician Assistant | 7505 Osler Dr, Suite 104, Towson, MD 21204-7736 | 2009-09-22 |
| 1093963696 | Intralign Md LLC | Physician Assistant | 7601 Osler Drive, Towson, MD 21204 | 2008-09-08 |
| 1710170758 | Laurie S Stahler | Physician Assistant | 7601 Osler Dr, Managed Care, Towson, MD 21204-7700 | 2007-08-23 |
| 1730274036 | Linda Ellen Loudermilk | Physician Assistant | 7601 Osler Drive, Towson, MD 21204-7582 | 2006-10-03 |
| 1972608784 | Rogers T Anderson | Physician Assistant | 7601 Osler Drive, Towson, MD 21204 | 2006-09-14 |
| 1184729691 | Daniel T Meeder | Physician Assistant | 7601 Osler Dr, Towson, MD 21204-7700 | 2006-09-13 |
| 1124123336 | Kevin Klekner | Physician Assistant | 7601 Osler Dr, Suite 506, Towson, MD 21204-7700 | 2006-09-13 |
| 1659332245 | William E Soyke | Physician Assistant | 1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 | 2006-03-31 |
| Find all providers in TOWSON | ||||
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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.