Brad Vincent Spagnolo (NPI# 1689679425, PAC ID# 1456323369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1689679425 |
| PAC ID by PECOS | 1456323369 |
| Professional Enrollment ID | I20100928000257 |
| Full Name | Brad Vincent Spagnolo |
| Organization Legal Name | ARTURO BETANCOURT MD PA |
| Address |
200 Hospital Dr Suite 600 Glen Burnie MD 21061-5865 |
| Phone Number | 4107663937 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4385616291 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Hospital Dr, Suite 600, Glen Burnie, MD 21061-5865 | 4107663937 | ARTURO BETANCOURT MD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Organization Legal Name | ARTURO BETANCOURT MD PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel J Mckay | Optometry | Arturo Betancourt Md Pa | 11089 Resort Rd, Suite 206, Ellicott City, MD 21042-2073 |
| Arturo E Betancourt | Ophthalmology | Arturo Betancourt Md Pa | 2391 Brandermill Blvd, Suite 200, Gambrills, MD 21054-1986 |
| Shari Strier | Optometry | Arturo Betancourt Md Pa | 11089 Resort Rd, Suite 206, Ellicott City, MD 21042-2073 |
| Noushin S Ahmed | Optometry | Arturo Betancourt Md Pa | 11089 Resort Rd, Suite 206, Ellicott City, MD 21042-2073 |
| Street Address |
200 HOSPITAL DR SUITE 600 |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-5865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darien A Mellerson | Physical Therapy | Centers for Advanced Orthopaedics LLC | 200 Hospital Dr, Glen Burnie, MD 21061-5884 |
| David Loyd Adkins | Physician Assistant | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Linda Radford-goad | Nurse Practitioner | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Anuradha Bhasin | Diagnostic Radiology | Advanced Radiology Pa | 200 Hospital Dr, Suite 112, Glen Burnie, MD 21061-5861 |
| Nazir A Adam | Emergency Medicine | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Warren J Mccarter | Emergency Medicine | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Brandon August Cestaric | Family Medicine | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Sujit Vakkalanka | Hospitalist | Peachtree Inpatient Consulting LLC | 200 Hospital Dr, Galax, VA 24333-2227 |
| Landon W Garland Jr. | Diagnostic Radiology | Galax Radiology, Inc. | 200 Hospital Dr, Galax, VA 24333-2227 |
| Katherine Rose V Tigas | Family Medicine | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GLEN BURNIE + OPHTHALMOLOGY |
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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.