COLUMBIA MEDICAL SPORT & SPINE LLC (NPI# 1871936294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871936294 |
| Entity Type | Organization |
| Organization Name | COLUMBIA MEDICAL SPORT & SPINE LLC |
| Practice Address |
8600 Snowden River Pkwy Suite 103 Columbia MD 21045-1982 |
| Practice Telephone | 4107205555 |
| Practice Fax Number | 4103814653 |
| Mailing Telephone | 4107205555 |
| Mailing Fax Number | 4103814653 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | VAUGHAN DABBS (OWNER) |
| Authorized Official Telephone | 4105996846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | D0051586 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
8600 SNOWDEN RIVER PKWY SUITE 103 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1316373095 | Howard County Center for Lung and Sleep Medicine Ll C | Internal Medicine | 8600 Snowden River Pkwy, Suite 202, Columbia, MD 21045-1982 | 2013-09-25 |
| 1942548540 | Kids Super Smile | Dentist | 8600 Snowden River Pkwy, 302, Columbia, MD 21045-1982 | 2013-01-17 |
| 1710221874 | Dabbs Accelerated Back Care Program. LLC | Chiropractor | 8600 Snowden River Pkwy, Ste 101, Columbia, MD 21045-1982 | 2012-11-15 |
| 1033347877 | Pulmonary Disease and Critical Care Associates, Pa. | Internal Medicine | 8600 Snowden River Pkwy, 202, Columbia, MD 21045-1982 | 2009-07-01 |
| 1629212824 | Kathleen Gibson Davis | Audiologist | 8600 Snowden River Pkwy, #309, Columbia, MD 21045-1982 | 2009-05-01 |
| 1174719660 | Jamie Leigh Neary | Audiologist | 8600 Snowden River Pkwy, Ste 309, Columbia, MD 21045-1986 | 2007-09-19 |
| 1043332125 | Lawrence Katkow | Dentist | 8600 Snowden River Pkwy, #106, Columbia, MD 21045-1982 | 2007-04-06 |
| 1962536037 | Anne M. Delaney | Audiologist | 8600 Snowden River Pkwy, Suite 309, Columbia, MD 21045-1982 | 2007-03-14 |
| 1871634394 | Harrys Primary Care LLC | Internal Medicine | 8600 Snowden River Pkwy, Suite 301, Columbia, MD 21045-1982 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1235648551 | Robert Calaluce | General Practice | 140 Walter Williams Hall, Columbia, MO 65211-1200 | 2017-09-29 |
| 1013301738 | Harold Woodliff Sanford Jr. | General Practice | 1829 Senate St Apt 9c, Columbia, SC 29201-3837 | 2015-03-19 |
| 1710383435 | Epoch - Central Missouri Limited Liability Company | General Practice | 2900 Trimble Rd., Columbia, MO 65201-6465 | 2014-11-06 |
| 1396093068 | Inder S Gujral | General Practice | 8795 Endless Ocean Way, Columbia, MD 21045-5938 | 2012-08-28 |
| 1407104482 | Gary Mosher Jones | General Practice | 2004 Riding Ridge Rd, Columbia, SC 29223-6713 | 2012-08-22 |
| 1972861854 | William Frederick Mcfadden | General Practice | 3121 Chinaberry Dr, Columbia, SC 29204-3664 | 2012-04-27 |
| 1215255617 | Barr Enterprises,llc | General Practice | 112 Norse Dr, Columbia, SC 29229-3304 | 2010-05-10 |
| Find all providers in COLUMBIA | ||||
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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.