Jack R Lichtenstein (NPI# 1609844224, PAC ID# 0941294359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
Nation Provider ID (NPI) | 1609844224 |
PAC ID by PECOS | 0941294359 |
Professional Enrollment ID | I20040409000078 |
Full Name | Jack R Lichtenstein |
Address |
205 Ridgely Ave Annapolis MD 21401-1303 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
Graduation Year | 1967 |
Primary Specialty | RHEUMATOLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210023 | ANNE ARUNDEL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
205 Ridgely Ave, Annapolis, MD 21401-1303 |
Street Address |
205 RIDGELY AVE |
City | ANNAPOLIS |
State | MD |
Zip | 21401-1303 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily L Weinfeld | Physical Therapy | Ergonomically Correct, LLC | 205 Ridgely Ave, Annapolis, MD 21401-1303 |
David A Fletcher | Physical Therapy | Ergonomically Correct, LLC | 205 Ridgely Ave, Annapolis, MD 21401-1303 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
Emily C O Meara | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
Jennifer Jayne Kungle | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
Katherine Hill | Nurse Practitioner | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
Kay A Hoskey | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
Johann Entinger | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902 |
James M Mckee | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
Adam Lawrence Weaver | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
Adeleke A Ogunmefun | Psychiatry | 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902 | |
Find all physicians in zip 21401 |
City | ANNAPOLIS |
Zip Code | 21401 |
Specialty | RHEUMATOLOGY |
City + Specialty | ANNAPOLIS + RHEUMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.