Tiffany Wilson (NPI# 1073773313, PAC ID# 1153577143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1073773313 |
| PAC ID by PECOS | 1153577143 |
| Professional Enrollment ID | I20120807000523 |
| Full Name | Tiffany Wilson |
| Organization Legal Name | MARYLAND PHYSICIANS EDGE LLC |
| Address |
12240 Indian Creek Ct 130a Beltsville MD 20705-1242 |
| Phone Number | 3016816722 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5890913503 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 | 3016816722 | MARYLAND PHYSICIANS EDGE LLC |
| 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1467 | 3016816772 | MARYLAND PHYSICIANS EDGE LLC |
| Organization Legal Name | MARYLAND PHYSICIANS EDGE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford Kleinman | Obstetrics/gynecology | Maryland Physicians Edge LLC | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1467 |
| Michael C Goodman | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Zarina D Hussain | Obstetrics/gynecology | Maryland Physicians Edge LLC | 9715 Medical Ctr Dr, Suite 530, Rockville, MD 20850-3362 |
| Saima Rafique | Obstetrics/gynecology | Maryland Physicians Edge LLC | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1467 |
| Juliette A Prust | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Meredith D Kapner | Obstetrics/gynecology | Maryland Physicians Edge LLC | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1467 |
| Lisa Kirsten Ely | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Jed D Gould | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Jennifer K Floran | Clinical Social Worker | Maryland Physicians Edge LLC | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1467 |
| Amy E Ampey | Obstetrics/gynecology | Maryland Physicians Edge LLC | 9715 Medical Ctr Dr, Suite 530, Rockville, MD 20850-3362 |
| Street Address |
12240 INDIAN CREEK CT 130A |
| City | BELTSVILLE |
| State | MD |
| Zip | 20705-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Goodman | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Juliette A Prust | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Lisa Kirsten Ely | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Jed D Gould | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Fei Huang | Obstetrics/gynecology | Maryland Physicians Edge LLC | 12240 Indian Creek Ct, 130a, Beltsville, MD 20705-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary M Epstein | Pathology | Chesapeake Urology Associates LLC | 12200 Kiln Ct, Suite A, Beltsville, MD 20705-1324 |
| Tehmina Z Ali | Pathology | Chesapeake Urology Associates LLC | 12200 Kiln Ct, Suite A, Beltsville, MD 20705-1324 |
| Adina T Paulk | Pathology | Chesapeake Urology Associates LLC | 12200 Kiln Ct, Suite A, Beltsville, MD 20705-1324 |
| Jeannette N Mwangacucu | Clinical Social Worker | 7602 Stanmore Dr, Beltsville, MD 20705-1383 | |
| Deep Kukreti | General Practice | 11701 Roby Ave, Beltsville, MD 20705-1509 | |
| Ruth E Boyd | Qualified Speech Language Pathologist | 10714 Baltimore Ave, Beltsville, MD 20705-2112 | |
| Saera H Brooks | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 10722 Baltimore Ave, Beltsville, MD 20705-2138 |
| Holly Beck | Podiatry | The Beltsville Foot and Ankle Center, Inc | 10720 Baltimore Ave, Beltsville, MD 20705-2138 |
| William Wesley Robinson | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 10722 Baltimore Ave, Beltsville, MD 20705-2138 |
| Sigri Reyes | Physical Therapy | Glen Burnie Physical Therapy and Sportscare LLC | 10722 Baltimore Ave, Beltsville, MD 20705-2138 |
| Find all physicians in zip 20705 | |||
| City | BELTSVILLE |
| Zip Code | 20705 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BELTSVILLE + OBSTETRICS/GYNECOLOGY |
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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.