Stephan R Izzi (NPI# 1629079173, PAC ID# 2567505811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629079173 |
| PAC ID by PECOS | 2567505811 |
| Professional Enrollment ID | I20100209000016 |
| Full Name | Stephan R Izzi |
| Organization Legal Name | CORELIFE HEALTH SERVICES, INC. |
| Address |
579 Baltimore Annapolis Blvd Severna Park MD 21146-3809 |
| Phone Number | 41097554471 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254616451 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6700 Race Track Rd, Bowie, MD 20715-3009 | 3013832581 | CORELIFE HEALTH SERVICES, INC. |
| 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 4107661444 | ARUNDEL MEDICAL GROUP INC |
| 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 | 41097554471 | CORELIFE HEALTH SERVICES, INC. |
| 821 W Benfield Rd, Suite 5 Ben Oaks, Severna Park, MD 21146-2220 | 4109910044 | CORELIFE OF DELMARVA LLC |
| Organization Legal Name | CORELIFE HEALTH SERVICES, INC. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia Delea | Nurse Practitioner | Corelife Health Services, Inc. | 6700 Race Track Rd, Bowie, MD 20715-3009 |
| Vanessa Geyer | Nurse Practitioner | Corelife Health Services, Inc. | 821 W Benfield Rd, Suite 3, Severna Park, MD 21146-2220 |
| Danielle Tanner | Nurse Practitioner | Corelife Health Services, Inc. | 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 |
| Jannae White | Nurse Practitioner | Corelife Health Services, Inc. | 1350 Blair Dr, Suite F, Odenton, MD 21113-1333 |
| Timothy J Lederer | Nurse Practitioner | Corelife Health Services, Inc. | 620 W Macphail Rd, 102 Corelife Inc, Bel Air, MD 21014-4474 |
| Amanda Brown | Nurse Practitioner | Corelife Health Services, Inc. | 118 E Oak Ridge Dr, Suite 1100, Hagerstown, MD 21740-7793 |
| Michelle Currey | Nurse Practitioner | Corelife Health Services, Inc. | 354 Mountian Rd, Suite G, Pasadena, MD 21122-1158 |
| Ye Rae Ahn | Nurse Practitioner | Corelife Health Services, Inc. | 354 Mountian Rd, Suite G, Pasadena, MD 21122-1158 |
| Lori Economos | Nurse Practitioner | Corelife Health Services, Inc. | 620 W Macphail Rd, 102 Corelife Inc, Bel Air, MD 21014-4474 |
| Christina L Beeman Partin | Nurse Practitioner | Corelife Health Services, Inc. | 1350 Blair Dr, Suite F, Odenton, MD 21113-1333 |
| Street Address |
579 BALTIMORE ANNAPOLIS BLVD |
| City | SEVERNA PARK |
| State | MD |
| Zip | 21146-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Tanner | Nurse Practitioner | Corelife Health Services, Inc. | 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 |
| Vincent Stephan Izzi | Family Medicine | Corelife Health Services, Inc. | 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 |
| Cayla Kubilus | Nurse Practitioner | Corelife Health Services, Inc. | 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 |
| Kathryn Noel Misenheimer | Registered Dietitian Or Nutrition Professional | Corelife Health Services, Inc. | 579 Baltimore Annapolis Blvd, Severna Park, MD 21146-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Wells | Physical Therapy | 2 Ws,llc | 156 Ritchie Hwy, Suite 100, Severna Park, MD 21146-1132 |
| John D Wallop | Physical Therapy | 2 Ws,llc | 156 Ritchie Hwy, Suite 100, Severna Park, MD 21146-1132 |
| Whitney P Carlsen | Physical Therapy | 2 Ws,llc | 156 Ritchie Hwy, Suite 100, Severna Park, MD 21146-1132 |
| Lois Jane Schramek | Nurse Practitioner | 213 Newport Dr, Severna Park, MD 21146-1349 | |
| Danielle C Cheplowitz | Nurse Practitioner | Chesapeake Elder Call, LLC | 213 Newport Dr, Severna Park, MD 21146-1349 |
| Robert W Frazier | Diagnostic Radiology | Foundation Radiology Group PC | 208 Saint Ives Garth, Severna Park, MD 21146-1418 |
| Amit Newatia | Diagnostic Radiology | Foundation Radiology Group PC | 208 Saint Ives Garth, Severna Park, MD 21146-1418 |
| Abbie M Ellicott | Psychologist, Clinical | 479 Jumpers Hole Rd, Suite 304b, Severna Park, MD 21146-1732 | |
| Lee A Kleiman | Otolaryngology | 479 Jumpers Hole Rd, Suite 304, Severna Park, MD 21146-1734 | |
| Vanessa Geyer | Nurse Practitioner | Corelife Health Services, Inc. | 821 W Benfield Rd, Suite 3, Severna Park, MD 21146-2220 |
| Find all physicians in zip 21146 | |||
| City | SEVERNA PARK |
| Zip Code | 21146 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEVERNA PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephan R Izzi.
| 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.