Alvin J Detterline Iv (NPI# 1316093180, PAC ID# 5193825404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1316093180 |
| PAC ID by PECOS | 5193825404 |
| Professional Enrollment ID | I20080819000215 |
| Full Name | Alvin J Detterline Iv |
| Organization Legal Name | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| Address |
8322 Bellona Ave Towson MD 21204-2065 |
| Phone Number | 4103283645 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0941455794 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7505 Osler Dr, Suite 104, Towson, MD 21204-7737 | 4105698587 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| 8322 Bellona Ave, Towson, MD 21204-2065 | 4103283645 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 80% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% |
| Organization Legal Name | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Marchesiello | Physician Assistant | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Paul C Mcafee | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Earl C Matthews | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Liana G Chotikul | Nurse Practitioner | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| David F Dalury | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Kenneth W Defontes Iii | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Colleen N Rice | Physician Assistant | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Michael D Dabbah | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Timothy P Codd | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Mark V Clough | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Street Address |
8322 BELLONA AVE |
| City | TOWSON |
| State | MD |
| Zip | 21204-2065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Rizzuto | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
| David Eisele | Otolaryngology | Johns Hopkins University | 8322 Bellona Ave, Suite 300, Towson, MD 21204-2077 |
| Paul C Mcafee | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Liana G Chotikul | Nurse Practitioner | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Theodore S Grabow | Interventional Pain Management | University of Maryland St Joseph Pain Specialists LLC | 8322 Bellona Ave, Suite 330, Towson, MD 21204-2077 |
| Julia E Linton | Certified Registered Nurse Anesthetist (crna) | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
| Madhavi A Naik | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
| Christian Tischer | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
| Monford A Wolf | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
| Steven M Grube | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8322 Bellona Ave, Towson, MD 21204-2076 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharen M.b. Bisson | Psychiatry | Osler Medical Ctr, Suite 7600, Towson, MD 21204 | |
| Vinod Lakhanpal | Ophthalmology | Katzen Medical Associates PC | 901 Dulaney Valley Rd, Suite 200, Towson, MD 21204-0603 |
| Kristen Reese | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-0614 |
| Brittney Elizabeth Ziskind | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Towson, MD 21204-0614 |
| Shawna Mowrer | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Towson, MD 21204-0614 |
| Tracy O Cress | Certified Registered Nurse Anesthetist | Warren H Macleod C R N A Pa | 901 Dulaney Valley Rd, Suite 220, Towson, MD 21204-0621 |
| Emily M. Samuelson | Psychologist, Clinical | 28 Allegheny Ave, Suite 1305, Towson, MD 21204-1379 | |
| Charlotte E Coates Wilkes | Psychiatry | 8417 Bellona Ln, Suite 102, Towson, MD 21204-2014 | |
| Adolfo L Lopez | Internal Medicine | 8415 Bellona Ln, Suite 109, Towson, MD 21204-2015 | |
| Tanya J Quille | Psychologist, Clinical | 8422 Bellona Ln, Suite 207, Towson, MD 21204-2057 | |
| Find all physicians in zip 21204 | |||
| City | TOWSON |
| Zip Code | 21204 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TOWSON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Alvin J Detterline Iv.
| 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.