Nebiyu Abiy Eshetu (NPI# 1407275357, PAC ID# 6901176361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407275357 |
| PAC ID by PECOS | 6901176361 |
| Professional Enrollment ID | I20180418002404 |
| Full Name | Nebiyu Abiy Eshetu |
| Organization Legal Name | MACE MEDICAL LLC |
| Address |
1124 Mace Ave Baltimore MD 21221-3315 |
| Phone Number | 4103916996 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123308020 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| 210029 | JOHNS HOPKINS BAYVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1124 Mace Ave, Baltimore, MD 21221-3315 | 4103916996 | MACE MEDICAL LLC |
| Organization Legal Name | MACE MEDICAL LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savitha Shivananda | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Ololade O Ikuomola | Nurse Practitioner | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Lauren Elisabeth Lokey | Nurse Practitioner | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Chukwuma M Ebo | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| John M Lee | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Janet Wulf | Nurse Practitioner | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| John J Loh | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Sajid Arain | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Street Address |
1124 MACE AVE |
| City | BALTIMORE |
| State | MD |
| Zip | 21221-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savitha Shivananda | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Ololade O Ikuomola | Nurse Practitioner | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Lauren Elisabeth Lokey | Nurse Practitioner | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Chukwuma M Ebo | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| John M Lee | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Janet Wulf | Nurse Practitioner | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| John J Loh | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Ravi K Aloor | Plastic and Reconstructive Surgery | 1124 Mace Ave, Baltimore, MD 21221-3315 | |
| Sajid Arain | Internal Medicine | Mace Medical LLC | 1124 Mace Ave, Baltimore, MD 21221-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Holler | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| George Taratsides | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Dianne Weeks | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Amy Ferenschak | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Brittany Kate Hogan | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Paul Yi | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Kelvin Wong | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Diana Lee | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Charissa Morrisroe | Physical Therapy | Ati Holdings LLC | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Lee Applequist | Physical Therapy | Ati Holdings LLC. | 117 Orville Rd, Baltimore, MD 21221-1309 |
| Find all physicians in zip 21221 | |||
| City | BALTIMORE |
| Zip Code | 21221 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BALTIMORE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nebiyu Abiy Eshetu.
| 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.