UPPER CHESAPEAKE NEURODIAGNOSTICS (NPI# 1902104581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902104581 |
| Entity Type | Organization |
| Organization Name | UPPER CHESAPEAKE NEURODIAGNOSTICS |
| Practice Address |
101 Chesapeake Blvd Suite D Elkton MD 21921-6607 |
| Mailing Address |
Po Box 734 Elkton MD 21922-0734 |
| Practice Telephone | 4432453452 |
| Practice Fax Number | 4432453490 |
| Mailing Telephone | 3023691700 |
| Mailing Fax Number | 3023691122 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | MR. FRANK FALCO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3023691700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | D0047325 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
101 CHESAPEAKE BLVD SUITE D |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174711949 | Surgery Centers of Delmarva, LLC | Clinic/Center | 101 Chesapeake Blvd, Suite C, Elkton, MD 21921-6313 | 2007-10-05 |
| 1760096473 | Capricorn Health LLC | Family Medicine | 101 Chesapeake Blvd, Suite B, Elkton, MD 21921-2192 | 2020-09-01 |
| 1093331639 | Purpose Health LLC | Family Medicine | 101 Chesapeake Blvd, Elkton, MD 21921-6607 | 2020-06-19 |
| 1477068278 | Precision Surgical Center LLC | Clinic/Center | 101 Chesapeake Blvd, Elkton, MD 21921-6607 | 2017-12-04 |
| 1912330283 | Upper Bay Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 101 Chesapeake Blvd, Suite C, Elkton, MD 21921-6607 | 2013-08-09 |
| 1740505932 | Walter William Roemer | Psychologist | 101 Chesapeake Blvd, Suite D, Elkton, MD 21921-6607 | 2010-03-31 |
| 1851625594 | Delmarva Anesthesia, LLC | Anesthesiology | 101 Chesapeake Blvd, Suite D, Elkton, MD 21921-6607 | 2009-09-29 |
| 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 | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972792109 | Charles C Reel, M.d. | Neuromusculoskeletal Medicine, Sports Medicine | 30065 Business Center Dr Ste 3, Charlotte Hall, MD 20622-3196 | 2007-10-24 |
| 1982801726 | Brian Y. Kim, D.o., P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 13217 Executive Park Ter, Germantown, MD 20874-2647 | 2007-06-27 |
| 1659420990 | Stephen R Fahey | Neuromusculoskeletal Medicine, Sports Medicine | Univ of Md Health Ctr, Campus Drive, Bldg. 140, College Park, MD 20742-0001 | 2007-01-09 |
| 1144333972 | Thomas D Caruso | Neuromusculoskeletal Medicine, Sports Medicine | 1050 Key Pkwy, Suite 103, Frederick, MD 21702-4053 | 2006-08-16 |
| 1225043045 | Heather P Peirce | Neuromusculoskeletal Medicine, Sports Medicine | 220 Baltimore Ave, Cumberland, MD 21502-2442 | 2006-07-30 |
| 1174586556 | Zohair Shehzad Alam | Neuromusculoskeletal Medicine, Sports Medicine | 8830 Cameron Ct Ste 333, Silver Spring, MD 20910-4155 | 2006-04-07 |
| 1851376651 | Joan Luo | Neuromusculoskeletal Medicine, Sports Medicine | 8943 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2005-12-14 |
| 1356997530 | Kaizen Chiropractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 4641 Montgomery Ave Ste 404, Bethesda, MD 20814-3431 | 2019-08-14 |
| 1902028939 | Frank Javier Tanon | Neuromusculoskeletal Medicine, Sports Medicine | 2411 W Belvedere Ave, Suite 104, Baltimore, MD 21215-5228 | 2007-05-02 |
| 1629104583 | David Philip Moss | Neuromusculoskeletal Medicine, Sports Medicine | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2007-02-26 |
| 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.