Steven J Fountain (NPI# 1114109782, PAC ID# 6507934692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114109782 |
| PAC ID by PECOS | 6507934692 |
| Professional Enrollment ID | I20081002000171 |
| Full Name | Steven J Fountain |
| Organization Legal Name | UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS LLC |
| Address |
501 S Union Ave Havre De Grace MD 21078-3409 |
| Phone Number | 4438435000 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2860587342 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| 210006 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 S Union Ave, Havre De Grace, MD 21078-3409 | 4438435000 | UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS LLC |
| Organization Legal Name | UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Elizabeth Thomas | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Milan V Vora | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Leen Abdullah Alblaihed | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Sumit Bassi | Family Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Nnenna Chime | Pediatric Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Brian Larocco | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Matthew D Smith | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Nubia Seyoum | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Megan Cobb | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Kerryann M Adams | Nurse Practitioner | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Street Address |
501 S UNION AVE |
| City | HAVRE DE GRACE |
| State | MD |
| Zip | 21078-3409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Carchedi | Psychiatry | Upper Chesapeake Medical Services Inc | 501 S Union Ave, Havre De Grace, MD 21078-3409 |
| Adam Rosenblatt | Psychiatry | Upper Chesapeake Medical Services Inc | 501 S Union Ave, Havre De Grace, MD 21078-3409 |
| Katharine A Sewell | Nurse Practitioner | Upper Chesapeake Medical Services Inc | 501 S Union Ave, Havre De Grace, MD 21078-3409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samer Saiedy | Vascular Surgery | Samer Saiedy Md Pa | 1500 Blenhiem Farm Ln, Havre De Grace, MD 21078-2042 |
| Dalia A Abaza | Physician Assistant | Samer Saiedy Md Pa | 1500 Blenhiem Farm Ln, Havre De Grace, MD 21078-2042 |
| Judith H Grifasi | Optometry | 2015 Pulaski Hwy C, Havre De Grace, MD 21078-2128 | |
| Scott M Smearman | Optometry | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Kimberly A Neutze-heaney | Ophthalmology | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| James E Stottlemyer | Optometry | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Jonathan A Seidenberg | Ophthalmology | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Daniel C Byron | Optometry | Seidenberg Protzko Eye Associates | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 |
| Henry Alexander Leder | Ophthalmology | 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137 | |
| Tyler F. Smardzewski | Chiropractic | 2129 Pulaski Hwy 103, Havre De Grace, MD 21078-2141 | |
| Find all physicians in zip 21078 | |||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HAVRE DE GRACE + EMERGENCY MEDICINE |
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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.