DR. ALLYSON MIRABELLA (NPI# 1871666156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871666156 |
| Entity Type | Individual |
| Full Name | DR. ALLYSON MIRABELLA |
| Credential | MD |
| Practice Address |
1221 Mercantile Lane Largo MD 20774-5374 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 3016185500 |
| Mailing Telephone | 3018161242 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
D63091 | MD | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
101238052 | VA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD 345433 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
1221 MERCANTILE LANE |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312758 | Idongesit Iheanyichukwu Attang | Family Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2015-03-31 |
| 1699960872 | Cristina Frances Whalen | Pharmacist | 1221 Mercantile Lane, Clinical Pharmacy Department, Largo, MD 20774-0001 | 2007-09-11 |
| 1275664526 | Marie Ann Eason | Radiology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-03-08 |
| 1144360587 | Shirley Anne Vanmilder | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1639219975 | Rhonda A Henry | Optometrist | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1124174875 | Jerry Wendell Mcconnell | Internal Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2007-01-26 |
| 1942359922 | Elaine Ziavras | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2007-01-09 |
| 1811052889 | Helayne Marsha Silver | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-27 |
| 1245390749 | Howard Ian Savage | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| 1154481653 | Sheryl L Clements | Nurse Practitioner | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
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| 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 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114090479 | Salah Al-andary M D LLC | Internal Medicine | 1920 West Bay Drive, Suite #6, Largo, FL 33770 | 2006-11-16 |
| 1467441451 | Anthony Ottaviani | Internal Medicine | 201 14th St Sw, Largo, FL 33770-3133 | 2005-10-21 |
| 1881680189 | Salah F Alandary | Internal Medicine | 1345 W Bay Dr Ste 205, Largo, FL 33770-2276 | 2005-09-22 |
| 1417490822 | Suncoast Chest Physicians LLC | Internal Medicine | 1345 W Bay Dr, Suite 205, Largo, FL 33770-2282 | 2016-12-02 |
| 1841564275 | Rana Kanaan | Internal Medicine | 1345 W Bay Dr Ste 205, Largo, FL 33770-2276 | 2012-03-02 |
| 1164619797 | Largo Lung Associates Inc | Internal Medicine | 1258 W Bay Dr, Suite E, Largo, FL 33770-2242 | 2007-09-27 |
| 1437187739 | Ronald E. Bowers | Internal Medicine | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1215577077 | Anne Arundel Physicians Group, LLC | Internal Medicine | 2003 Medical Pkwy Ste 310, Annapolis, MD 21401-7944 | 2020-01-09 |
| 1063890036 | Albert Shan-ching Sun Estate Chen Chih Sun, Per Rep | Internal Medicine | 1200 Temfield Rd., Towson, MD 21286 | 2015-05-11 |
| 1851637276 | Joel Moss | Internal Medicine | Room 6d05 Bldg 10, National Institutes of Health, Bethesda, MD 20892-1590 | 2012-12-13 |
| 1013276591 | Maryland Pulmonary Associates LLC | Internal Medicine | 10307 Fleming Ave, Bethesda, MD 20814-2162 | 2012-05-03 |
| 1407158389 | Victor Hrehorovich | Internal Medicine | 10913 Tony Dr, Lutherville, MD 21093-3618 | 2010-11-26 |
| 1700103231 | Robert Edward Walker | Internal Medicine | 3902 Blackthorn St, Chevy Chase, MD 20815-5056 | 2010-04-23 |
| 1679766950 | Maryland Lung Associates Pa | Internal Medicine | 3449 Wilkens Avenue, Suite 207, Balitimore, MD 21229 | 2007-08-21 |
| 1669670618 | John C Huetsch | Internal Medicine | 5501 Hopkins Bayview Cir Fl 4, Baltimore, MD 21224-6821 | 2007-07-10 |
| 1316067929 | Lev Agarunov | Internal Medicine | 12154 Darnestown Rd, Ste 625, Gaithersburg, MD 20878-2206 | 2007-03-29 |
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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.