UTKALA SEGU (NPI# 1922579150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922579150 |
| Entity Type | Individual |
| Full Name | UTKALA SEGU |
| Practice Address |
18629 Autumn Mist Dr Germantown MD 20874-2180 |
| Practice Telephone | 2404418178 |
| Mailing Telephone | 2404418178 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C07275 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
18629 AUTUMN MIST DR |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714704 | Erin Benefiel | Physician Assistant | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 | 2019-01-30 |
| 1164996245 | Bradley Bailey | Physician Assistant | 19851 Observation Dr Ste 250, Germantown, MD 20876-4151 | 2019-01-11 |
| 1508382615 | Hilary Andrews | Physician Assistant | 7148 Donnington Dr, Germantown, TN 38138-4614 | 2017-08-21 |
| 1093168189 | Melissa Marie Whitehouse | Physician Assistant | W199n11298 Rosewood Ct, Germantown, WI 53022-2935 | 2016-07-13 |
| 1215205828 | Ashley Lawrence | Physician Assistant | 7705 Poplar Ave Ste 310b, Germantown, TN 38138-3930 | 2011-12-09 |
| 1699907758 | Xavier Dominique Lennon | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2009-08-21 |
| 1093925950 | Brooke Amanda Helms | Physician Assistant | 9067 Poplar Ave, Suite 109, Germantown, TN 38138-7851 | 2007-05-22 |
| 1194844183 | Katherine Mary Gresham | Physician Assistant | 7485 Poplar Pike, Germantown, TN 38138-5934 | 2007-03-29 |
| 1477551208 | Tammy L Welch | Physician Assistant | 20410 Observation Dr Ste 100, Germantown, MD 20876-6419 | 2005-07-14 |
| 1477167468 | Kristen Thelen | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-07 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
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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.