Emmanuel N Enokpa (NPI# 1063539500, PAC ID# 3779806856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1063539500 |
PAC ID by PECOS | 3779806856 |
Professional Enrollment ID | I20141222000507 |
Full Name | Emmanuel N Enokpa |
Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
Address |
9715 Healthway Dr Berlin MD 21811-3500 |
Phone Number | 4433233014 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3779572862 |
Number of Group Practice Members | 28 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210005 | FREDERICK MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
9715 Healthway Dr, Berlin, MD 21811-3500 | 4433233014 | FIVE STAR PHYSICIAN SERVICES LLC |
12800 Middlebrook Rd, Suite 204, Germantown, MD 20874-5254 | 3015408146 | VINU GANTI M.D., P.C. |
Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natasha L Loving | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Deborah A Stein | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
Usha V Gollapalli | Internal Medicine | Five Star Physician Services LLC | 9106 Pine View Ln, Clinton, MD 20735-3229 |
Neka D Anyaogu | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Kathy Davis | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Elena V Iarikova | Hospitalist | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Javier Quant-gonzalez | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Tasneem Lakhani | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Harold Bob | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Dorothy Mae Seay | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Street Address |
9715 HEALTHWAY DR |
City | BERLIN |
State | MD |
Zip | 21811-3500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natasha L Loving | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Neka D Anyaogu | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Kathy Davis | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Elena V Iarikova | Hospitalist | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Javier Quant-gonzalez | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Tasneem Lakhani | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Harold Bob | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Dorothy Mae Seay | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Jeffrey K Zibell | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Sabrina M Wells | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynne T Conboy | Clinical Social Worker | 29 Broad St, Unit A, Berlin, MD 21811-1052 | |
Jennifer C Leggour | Psychologist, Clinical | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Kelly M Beeseck | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Erin K Sullivan | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Ivy L Sheffler Oidick | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Catherine M Oneill | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Anthony John Kirtsos Jr. | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Jill H Benson | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Berlin, MD 21811-1062 |
Cheryl L Torpey | Clinical Social Worker | Worcester Youth and Family Counseling Services, Inc. | 124 N Main St, Suite C, Berlin, MD 21811-1062 |
Sandra Gassant | Nurse Practitioner | Corelife of Delmarva LLC | 9954 N Main St, Unit 3, Berlin, MD 21811-1076 |
Find all physicians in zip 21811 |
City | BERLIN |
Zip Code | 21811 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BERLIN + NURSE PRACTITIONER |
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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.