Daisuke Matsuo (NPI# 1992290951, PAC ID# 3476801515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992290951 |
| PAC ID by PECOS | 3476801515 |
| Professional Enrollment ID | I20180806001276 |
| Full Name | Daisuke Matsuo |
| Organization Legal Name | ETHOS HEALTH MARYLAND 2 |
| Address |
6 Park Ctr Ct Suite 201 Owings Mills MD 21117-5604 |
| Phone Number | 3527325590 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446586895 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1125 W St, Suite 200, Annapolis, MD 21401-3607 | 8669643285 | LIFE LINE COMMUNITY HEALTHCARE |
| 4940 Campbell Blvd, Nottingham, MD 21236-5900 | 3527325590 | ETHOS HEALTH MARYLAND 1, LLC |
| 6 Park Ctr Ct, Suite 201, Owings Mills, MD 21117-5604 | 3527325590 | ETHOS HEALTH MARYLAND 2 |
| 1518 Willow Lawn Dr, Richmond, VA 23230-3419 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| 1629 K St Nw, Suite 300, Washington, DC 20006-1631 | 8669643285 | LIFE LINE COMMUNITY HEALTHCARE |
| Organization Legal Name | ETHOS HEALTH MARYLAND 2 |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nacresha N Richardson | Nurse Practitioner | Ethos Health Maryland 2 | 6 Park Ctr Ct, Suite 201, Owings Mills, MD 21117-5604 |
| Street Address |
6 PARK CTR CT SUITE 201 |
| City | OWINGS MILLS |
| State | MD |
| Zip | 21117-5604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Pokov | Internal Medicine | 6 Park Ctr Ct, Suite 206, Owings Mills, MD 21117-5604 | |
| Judith L Ward | Psychologist, Clinical | New Perspectives LLC | 6 Park Ctr Ct, Suite 103, Owings Mills, MD 21117-5603 |
| Kristen A Robinson | Clinical Social Worker | New Perspectives LLC | 6 Park Ctr Ct, Suite 103, Owings Mills, MD 21117-5603 |
| John W Kerschbaum | Clinical Social Worker | New Perspectives LLC | 6 Park Ctr Ct, Suite 103, Owings Mills, MD 21117-5603 |
| William K Levey | Clinical Social Worker | New Perspectives LLC | 6 Park Ctr Ct, Suite 103, Owings Mills, MD 21117-5603 |
| Sharon Propper | Psychologist, Clinical | New Perspectives LLC | 6 Park Ctr Ct, Suite 103, Owings Mills, MD 21117-5603 |
| Amy T Shulkin | Psychologist, Clinical | New Perspectives LLC | 6 Park Ctr Ct, Suite 103, Owings Mills, MD 21117-5603 |
| Nacresha N Richardson | Nurse Practitioner | Ethos Health Maryland 2 | 6 Park Ctr Ct, Suite 201, Owings Mills, MD 21117-5604 |
| Terri L Collins | Clinical Social Worker | New Perspectives, LLC | 6 Park Ctr Ct, Owings Mills, MD 21117-5603 |
| Calvin Joseph Smith | Clinical Social Worker | New Perspectives, LLC | 6 Park Ctr Ct, Owings Mills, MD 21117-5603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy P Goldman | Optometry | 12621 Waterspout Ct, Owings Mills, MD 21117-1028 | |
| Brian M Granek | Optometry | 10995 Owings Mills Blvd, Suite 204, Owings Mills, MD 21117-1030 | |
| Yves Joseph Jr. | Physical Therapy | Maryland Sportscare and Rehab LLC | 10995 Owings Mills Blvd, Suite 210, Owings Mills, MD 21117-1030 |
| Daniel Sparks | Physical Therapy | Maryland Sportscare and Rehab LLC | 10995 Owings Mills Blvd, Suite 210, Owings Mills, MD 21117-1030 |
| Terryle Lee Williams | Clinical Social Worker | 22 Birch Bark Ct, Owings Mills, MD 21117-1319 | |
| Lakeia D Allen | Clinical Social Worker | 417 Doe Meadow Dr, Owings Mills, MD 21117-1367 | |
| Shneur Z Marshall | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Malya Levin | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Rachael S Abrams | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Rosa Perez | Clinical Social Worker | Jewish Community Services Inc | 3506 Gwynnbrook Ave, Owings Mills, MD 21117-1409 |
| Find all physicians in zip 21117 | |||
| City | OWINGS MILLS |
| Zip Code | 21117 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OWINGS MILLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Daisuke Matsuo.
| 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.