Kelly Petz
MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC


Address: 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Phone: 3014758971

Kelly Petz (NPI# 1033200027, PAC ID# 1456313592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1033200027
PAC ID by PECOS 1456313592
Professional Enrollment ID I20080410000438
Full Name Kelly Petz
Organization Legal Name MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
Address 25500 Point Lookout Rd
Leonardtown
MD 20650-2015
Phone Number 3014758971
Gender F
Credential CNA
Graduation Year 1998
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 1052678034
Number of Group Practice Members 393
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210028 MEDSTAR SAINT MARY'S HOSPITAL
210002 UNIVERSITY OF MARYLAND MEDICAL CENTER

Other Locations

Address Phone Organization
22 S Green St, Baltimore, MD 21201-1544 4103286704 UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION
25500 Point Lookout Rd, Leonardtown, MD 20650-2015 3014758971 MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
5255 Loughboro Road Nw, Sibley Memorial Hospital, Washington, DC 20016-2633 2025374563 SURGICAL ANESTHESIA ASSOCIATES, PLLC

Organization Information

Organization Legal Name MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
Physicians 391

Physicians with the same organization

Name Specialty Organization Address
Ali Akber Turabi Pain Management Medstar Medical Group Anesthesiology LLC 201 E University Pkwy, Mmg Anesthesiology At Mumh, Baltimore, MD 21218-2829
Michael A King Anesthesiology Medstar Medical Group Anesthesiology LLC 6475 New Hampshire Ave, 150 Capital Endoscopy Surg Ctr, Hyattsville, MD 20783-3273
Barbara W Dawson Certified Registered Nurse Anesthetist (crna) Medstar Medical Group Anesthesiology LLC 7503 Surratts Rd, Clinton, MD 20735-3358
Ore-oluwa Lima Da Silva Certified Registered Nurse Anesthetist (crna) Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Fay A Horng Anesthesiology Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Alexandra Megan Fine Anesthesiology Assistant Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Thomas Jay Finkelston Anesthesiology Medstar Medical Group Anesthesiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Dana E Kirby Certified Registered Nurse Anesthetist (crna) Medstar Medical Group Anesthesiology LLC 1133 21st St Nw, Mmg Anes Lafayette, Washington, DC 20036-3390
Shelby Fullen Anesthesiology Assistant Medstar Medical Group Anesthesiology LLC 110 Irving St Nw, Mmg Anesthesiology At Mwhc, Washington, DC 20010-3017
Domenic S Derobertis Anesthesiology Assistant Medstar Medical Group Anesthesiology LLC 3800 Reservoir Rd Nw, Mmg Anesthesiology At Mguh, Washington, DC 20007-2113

Office Location

Street Address 25500 POINT LOOKOUT RD
City LEONARDTOWN
State MD
Zip 20650-2015

Physicians in the same location

Name Specialty Organization Address
Jennifer Thomas Diagnostic Radiology Medstar Medical Group Radiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Bruce R Gibson Critical Care (intensivists) St Marys Hospital of St Marys County Inc 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Thomas Jay Finkelston Anesthesiology Medstar Medical Group Anesthesiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Brian P Swehla Diagnostic Radiology Medstar Medical Group Radiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
William M Mahaffey General Surgery Healogics Specialty Physicians of Maryland LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Mary G Walter Nurse Practitioner Axis Healthcare Group 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Arie Neymotin Diagnostic Radiology Medstar Medical Group Radiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Clyde W Pray Anesthesiology Medstar Medical Group Anesthesiology LLC 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Elizabeth H Deoreo Psychiatry Axis Healthcare Group 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
Ikenna Nwachukwu Internal Medicine St Marys Hospital of St Marys County Inc 25500 Point Lookout Rd, Leonardtown, MD 20650-2015
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Physicians in the same zip code

Name Specialty Organization Address
Emily Marie Miller Physician Assistant Verghese and Ling M.d.p.a. 26840 Point Lookout Rd, Leonardtown, MD 20650
Sabrina A Sepulveda Nurse Practitioner 41630 Couthouse Dr, Leonardtown, MD 20650
Rhonda Cox Occupational Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Danielle Luray Guy Physical Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Bonnie L Torres Physical Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Jeremy Thurman Physical Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Lauren Snyder Occupational Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Aaron Bauer Physical Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Richard S Hageman Physical Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
Laura P Ward Physical Therapy Proflex Physical Therapy of Maryland LLC 22715 Washington St, Leonardtown, MD 20650-0309
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Dataset Information

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.

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