SERVITIUM MED MD, LLC (NPI# 1962934976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962934976 |
| Entity Type | Organization |
| Organization Name | SERVITIUM MED MD, LLC |
| Practice Address |
1125 West St Ste 200 Annapolis MD 21401-3607 |
| Practice Telephone | 8552104002 |
| Mailing Telephone | 8552104002 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | NEIL FRANCIS COSTELLO (M) |
| Authorized Official Telephone | 8552104002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1125 WEST ST STE 200 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851652671 | Sarah Ramsey Rovnak | Psychologist | 1125 West St Ste 200, Annapolis, MD 21401 | 2012-06-07 |
| 1306497243 | Renewed Pathways, LLC | Social Worker | 1125 West St Ste 200, Annapolis, MD 21401-3607 | 2019-09-23 |
| 1144794017 | Anxiety Center of Annapolis, LLC | Psychologist | 1125 West St Ste 200, Annapolis, MD 21401-3607 | 2019-01-14 |
| 1467973214 | Tiauna Owens | Counselor | 1125 West St Ste 200, Annapolis, MD 21401-3607 | 2017-07-02 |
| 1720340680 | Megan Julia Yount | Social Worker | 1125 West St Ste 200, Annapolis, MD 21401 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899301 | Kassmel Inc | Durable Medical Equipment & Medical Supplies | 2138 Generals Hwy Unit C, Annapolis, MD 21401-6723 | 2020-07-29 |
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1669880027 | Medical Center Orthotics and Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 2012 Renard Ct, Suite G, Annapolis, MD 21401-6761 | 2014-07-30 |
| 1265784821 | Black Diamond Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 521 Third St, Annapolis, MD 21403-3210 | 2012-10-07 |
| 1609172501 | Horizon Respiratory Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1997 Annapolis Exchange Parkway, Suite 300, Annapolis, MD 21401 | 2011-02-10 |
| 1609012210 | A La Mode, Inc. | Durable Medical Equipment & Medical Supplies | 32 West St, Annapolis, MD 21401-2421 | 2009-01-02 |
| 1073724274 | Three Legged Dog, LLC | Durable Medical Equipment & Medical Supplies | 2315 Forest Dr Ste C, Annapolis, MD 21401-3837 | 2007-05-28 |
| 1740312537 | Annapolis Health Care Supplies | Durable Medical Equipment & Medical Supplies | 2138 Generals Hwy, Unit C, Annapolis, MD 21401 | 2007-03-09 |
| 1063573327 | Carecenter Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2666 Riva Rd, Suite 110, Annapolis, MD 21401-7345 | 2006-12-12 |
| 1790859676 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 123 Old Solomons Island Rd, Annapolis, MD 21401-4365 | 2006-11-20 |
| Find all providers in ANNAPOLIS | ||||
Please comment or provide details below to improve the information on SERVITIUM MED MD, LLC.
| 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.