LEE-LLACER & LEE-LLACER, MD,PA (NPI# 1922135508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922135508 |
| Entity Type | Organization |
| Organization Name | LEE-LLACER & LEE-LLACER, MD,PA |
| Practice Address |
8909 Old Branch Ave Clinton MD 20735-2528 |
| Practice Telephone | 3018687274 |
| Mailing Telephone | 3018687274 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | MARY MILLER (MANAGER) |
| Authorized Official Telephone | 3018687274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | D0012962 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | D008273 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D0012962 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
8909 OLD BRANCH AVE |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961945 | Vincent I Okeke | Internal Medicine | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2005-06-13 |
| 1497062178 | Medical Practice Solutions, LLC | Contractor | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2010-09-02 |
| 1033247390 | Cruz-lee-llacer & Associates P A | Internal Medicine | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2007-03-01 |
| 1134285208 | Enrique Samanez | Internal Medicine | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2006-12-30 |
| 1144314899 | Lee-llacer & Lee-llacer, Md Pa | Specialist | 8909 Old Branch Ave, Clinton, MD 20735 | 2006-10-03 |
| 1346244761 | Reynaldo L Lee-llacer | Surgery | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2005-06-13 |
| 1679577092 | Zorayda M Lee-llacer | Anesthesiology | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1629225735 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-08-20 |
| 1033247390 | Cruz-lee-llacer & Associates P A | Internal Medicine | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2007-03-01 |
| 1134285208 | Enrique Samanez | Internal Medicine | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2006-12-30 |
| 1154386084 | David P. Remy | Internal Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2006-04-20 |
| 1275523342 | William Boyce | Internal Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2005-10-28 |
| 1154311231 | Carlos Chiriboga | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3395 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694066 | Rajesh M Shah M D | Internal Medicine | 8353 Governor Run, Ellicott City, MD 21043-3448 | 2018-03-29 |
| 1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
| 1871949917 | Penelope Scott, Md | Internal Medicine | 11824 Falls Rd, Cockeysville, MD 21030-1605 | 2016-05-08 |
| 1598121337 | Dennis Frank | Internal Medicine | 6 Southgate Ave, Annapolis, MD 21401-2710 | 2016-01-09 |
| 1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
| 1265852263 | James Shelhamer | Internal Medicine | Room 2c145 Bldg 10, Nih, Bethesda, MD 20892-0001 | 2014-04-17 |
| 1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
| 1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
| 1699027151 | Jack E Zimmerman | Internal Medicine | 17612 Coatbridge Pl, Olney, MD 20832-2318 | 2012-10-09 |
| 1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
| 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.