Edward C Whitfield Sr. (NPI# 1740690973, PAC ID# 4789803487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1740690973 |
| PAC ID by PECOS | 4789803487 |
| Professional Enrollment ID | I20140911000615 |
| Full Name | Edward C Whitfield Sr. |
| Organization Legal Name | OMNI HOUSE INC |
| Address |
1419 Madison Park Dr Glen Burnie MD 21061-5613 |
| Phone Number | 4107682719211 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6800840331 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 4107682719211 | OMNI HOUSE INC |
| Organization Legal Name | OMNI HOUSE INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betsy Ruth | Clinical Social Worker | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Kara B Iacovella | Nurse Practitioner | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Mary J Pizzica | Clinical Social Worker | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Sonny M Miranda | Psychiatry | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Sarita Olson | Clinical Social Worker | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Robert Maman | Psychiatry | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Kelly S Bartz | Nurse Practitioner | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Street Address |
1419 MADISON PARK DR |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-5613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betsy Ruth | Clinical Social Worker | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Kara B Iacovella | Nurse Practitioner | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Rhoda B Padow | Psychiatry | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | |
| Mary J Pizzica | Clinical Social Worker | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Sonny M Miranda | Psychiatry | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Sarita Olson | Clinical Social Worker | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Robert Maman | Psychiatry | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Kelly S Bartz | Nurse Practitioner | Omni House Inc | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GLEN BURNIE + CLINICAL SOCIAL WORKER |
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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.