Addisu M Temesgen (NPI# 1386971927, PAC ID# 4183812266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1386971927 |
| PAC ID by PECOS | 4183812266 |
| Professional Enrollment ID | I20101216000820 |
| Full Name | Addisu M Temesgen |
| Organization Legal Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Address |
16 Fustin Ave Catonsville Commons Baltimore MD 21228 |
| Phone Number | 4107471800 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9830002534 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 | 4107471800 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| 7520 Surratts Rd, Clinton, MD 20735-3353 | 3018561660 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Organization Legal Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly Ralston | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 239 Pleasant St, Concord, NH 03301-7504 |
| Kuroush Aligholizadeh | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 1 Magnolia Dr, La Plata, MD 20646-9357 |
| Nattile Clarke | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 200 Civic Ave, Salisbury, MD 21804-4599 |
| Sadia N Baqai | Geriatric Medicine | Genesis Eldercare Physician Services LLC | 3227 Bel Pre Rd, Silver Spring, MD 20906-2423 |
| Bao Tram C Nguyen | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 4604 Lowe Rd, Louisville, KY 40220-1514 |
| Benorayehush B Weldetsadik | Internal Medicine | Genesis Eldercare Physician Services LLC | 7520 Surratts Rd, Clinton, MD 20735-3353 |
| Melissa Smith | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 257 Patton Ln, Harriman, TN 37748-8618 |
| Ellen Cassidy | Family Medicine | Genesis Eldercare Physician Services LLC | 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 |
| Sandra B Shaheed | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 1801 Wentworth Rd, Baltimore, MD 21234-6128 |
| Lorie Michelle Wardlow | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 4604 Lowe Rd, Louisville, KY 40220-1514 |
| Street Address |
16 FUSTIN AVE CATONSVILLE COMMONS |
| City | BALTIMORE |
| State | MD |
| Zip | 21228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Cassidy | Family Medicine | Genesis Eldercare Physician Services LLC | 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 |
| Babatunde Ajani | Internal Medicine | Genesis Eldercare Physician Services LLC | 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 |
| Musu K Turay | Nurse Practitioner | Genesis Eldercare Physician Services LLC | 16 Fustin Ave, Catonsville Commons, Baltimore, MD 21228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sliverine D Samaranayake | Psychiatry | 1520 King William Dr, Catonsville, MD 21228-1001 | |
| Edward Z Katcoff | Podiatry | 1441 N Rolling Rd, Catonsville, MD 21228-1104 | |
| Marc D Attman | Optometry | 5646 Baltimore National Pike, Baltimore, MD 21228-1401 | |
| William F Hug | Psychologist, Clinical | 5602 Baltimore National Pike, Suite 306, Baltimore, MD 21228-1410 | |
| Delhi Delhi Thweatt Jr. | Gynecological Oncology | 5602 Baltimore National Pike, Baltimore, MD 21228-1410 | |
| An'nita C Moore-hebron | Nurse Practitioner | 5602 Baltimore National Pike, Catonsville, MD 21228-1411 | |
| Willie L Barber | Clinical Social Worker | Thrive Behavioral Health, LLC | 5720 Executive Dr, Suite 100 105, Baltimore, MD 21228-1757 |
| David Joshua Delamatre | Clinical Social Worker | Thrive Behavioral Health, LLC | 5720 Executive Dr, Suite 100 105, Baltimore, MD 21228-1757 |
| Cheryl T Payne | Nurse Practitioner | Thrive Behavioral Health, LLC | 5720 Executive Dr, Suite 100 105, Baltimore, MD 21228-1757 |
| Adrienne Dulaj Keatts | Clinical Social Worker | Thrive Behavioral Health, LLC | 5740 Executive Dr, Catonsville Suite 220, Baltimore, MD 21228-1767 |
| Find all physicians in zip 21228 | |||
| City | BALTIMORE |
| Zip Code | 21228 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BALTIMORE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Addisu M Temesgen.
| 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.