Mary Grace Renfrow (NPI# 1801372800, PAC ID# 2163773557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801372800 |
| PAC ID by PECOS | 2163773557 |
| Professional Enrollment ID | I20180925000391 |
| Full Name | Mary Grace Renfrow |
| Organization Legal Name | GOLDBERG ROSENSTEIN KHAN AND FORMAN MD PA |
| Address |
7600 Osler Dr Towson MD 21204-7735 |
| Phone Number | 4102964215 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799851077 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 | 4102964210 | GOLDBERG ROSENSTEIN KHAN AND FORMAN MD PA |
| 7600 Osler Dr, Towson, MD 21204-7735 | 4102964215 | GOLDBERG ROSENSTEIN KHAN AND FORMAN MD PA |
| Organization Legal Name | GOLDBERG ROSENSTEIN KHAN AND FORMAN MD PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Broussard | Certified Registered Nurse Anesthetist (crna) | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Joshua S Forman | Gastroenterology | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Jamie B Walters | Gastroenterology | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Aminur R Khan | Gastroenterology | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Thea L Koltz | Certified Registered Nurse Anesthetist (crna) | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Andrew H Rosenstein | Gastroenterology | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Donald W Anderson Jr. | Certified Registered Nurse Anesthetist (crna) | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Michelle H Duell | Certified Registered Nurse Anesthetist (crna) | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Neil D Goldberg | Gastroenterology | Goldberg Rosenstein Khan and Forman Md Pa | 7505 Osler Dr, Suite 502, Towson, MD 21204-7740 |
| Street Address |
7600 OSLER DR |
| City | TOWSON |
| State | MD |
| Zip | 21204-7735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Hardiman Chadwick | Obstetrics/gynecology | St Paul Place Specialists, Inc. | 7600 Osler Dr, Suite 200, Towson, MD 21204-7701 |
| Sharon F Handel | Psychiatry | 7600 Osler Dr, Suite 400, Towson, MD 21204-7703 | |
| Lauren J Elliott | Psychiatry | Tms Neurohealth Centers Owings Mills LLC | 7600 Osler Dr, Suite 304, Towson, MD 21204-7702 |
| James Douglas Clarke | Cardiovascular Disease (cardiology) | 7600 Osler Dr, Suite 404, Towson, MD 21204-7703 | |
| Choon Myong Park | Otolaryngology | 7600 Osler Dr, Suite 415, Baltimore, MD 21204-7703 | |
| Angela L Ferrari-walczak | Nurse Practitioner | St Paul Place Specialists, Inc. | 7600 Osler Dr, Suite 200, Towson, MD 21204-7701 |
| Latasha N Murphy | Obstetrics/gynecology | St Paul Place Specialists, Inc. | 7600 Osler Dr, Suite 200, Towson, MD 21204-7701 |
| Trina K Frankel | Family Medicine | 7600 Osler Dr, Suite 113, Towson, MD 21204-7705 | |
| Virginia L Ashley | Psychiatry | 7600 Osler Dr, Suite 304, Towson, MD 21204-7702 | |
| Alfonso P Zalduondo | General Surgery | 7600 Osler Dr, Suite 302, Towson, MD 21204-7702 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharen M.b. Bisson | Psychiatry | Osler Medical Ctr, Suite 7600, Towson, MD 21204 | |
| Vinod Lakhanpal | Ophthalmology | Katzen Medical Associates PC | 901 Dulaney Valley Rd, Suite 200, Towson, MD 21204-0603 |
| Kristen Reese | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-0614 |
| Brittney Elizabeth Ziskind | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Towson, MD 21204-0614 |
| Shawna Mowrer | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Towson, MD 21204-0614 |
| Tracy O Cress | Certified Registered Nurse Anesthetist | Warren H Macleod C R N A Pa | 901 Dulaney Valley Rd, Suite 220, Towson, MD 21204-0621 |
| Emily M. Samuelson | Psychologist, Clinical | 28 Allegheny Ave, Suite 1305, Towson, MD 21204-1379 | |
| Charlotte E Coates Wilkes | Psychiatry | 8417 Bellona Ln, Suite 102, Towson, MD 21204-2014 | |
| Adolfo L Lopez | Internal Medicine | 8415 Bellona Ln, Suite 109, Towson, MD 21204-2015 | |
| Tanya J Quille | Psychologist, Clinical | 8422 Bellona Ln, Suite 207, Towson, MD 21204-2057 | |
| Find all physicians in zip 21204 | |||
| City | TOWSON |
| Zip Code | 21204 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TOWSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Grace Renfrow.
| 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.