Colleen Rodak (NPI# 1154490704, PAC ID# 5597776211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154490704 |
| PAC ID by PECOS | 5597776211 |
| Professional Enrollment ID | I20060509000920 |
| Full Name | Colleen Rodak |
| Organization Legal Name | BETHESDA PHYSICIAN SERVICES, LLC |
| Address |
8600 Old Georgetown Rd Bethesda MD 20814-1422 |
| Phone Number | 3018963100 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325296429 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210022 | SUBURBAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 3018963100 | BETHESDA PHYSICIAN SERVICES, LLC |
| Organization Legal Name | BETHESDA PHYSICIAN SERVICES, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ima Sasu | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Leora Michelle Allen | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Tracey Pyles | Emergency Medicine | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Barton W Leonard | Emergency Medicine | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Marianne Mcneil | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Hasitha M Wickramasinghe | Emergency Medicine | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Margaret Watt | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Golru Ghaffari | Emergency Medicine | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Gayle C Mccrossin | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Barbara S Cornet | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Street Address |
8600 OLD GEORGETOWN RD |
| City | BETHESDA |
| State | MD |
| Zip | 20814-1422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahmud R Elbackush | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Michael J Peck | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Katharine Funari | Optometry | Johns Hopkins University | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Michelle C Divito | Emergency Medicine | Bethesda Emergency Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Andrew Demidowich | Hospitalist | Johns Hopkins Community Physicians | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Ima Sasu | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Eligio B Aguhob | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Brian J Masterson | Internal Medicine | Axis Healthcare Group | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Shannon F Reeve | Emergency Medicine | Bethesda Emergency Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Bess Yeh | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Dewey Teunis | Optometry | 5630 Bradley Blvd, Bethesda, MD 20814-1006 | |
| Lysandra Voltaggio | Pathology | Johns Hopkins University | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Vincent A Depalma | Orthopedic Surgery | Johns Hopkins University | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Leora Michelle Allen | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Akhil Khanna | Orthopedic Surgery | Johns Hopkins University | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Mark D Vogt | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Tracey Pyles | Emergency Medicine | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Barton W Leonard | Emergency Medicine | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| James A Kaufman | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Marianne Mcneil | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Find all physicians in zip 20814 | |||
| City | BETHESDA |
| Zip Code | 20814 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BETHESDA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Colleen Rodak.
| 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.