Tania R Crussiah (NPI# 1497962450, PAC ID# 7719061001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497962450 |
| PAC ID by PECOS | 7719061001 |
| Professional Enrollment ID | I20080226000198 |
| Full Name | Tania R Crussiah |
| Organization Legal Name | MEDICAL PRACTICES OF ANTIETAM LLC |
| Address |
3 Byrkit Dr Williamsport MD 21795-1158 |
| Phone Number | 3015821150 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567353865 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210001 | MERITUS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3 Byrkit Dr, Williamsport, MD 21795-1158 | 3015821150 | MEDICAL PRACTICES OF ANTIETAM LLC |
| Organization Legal Name | MEDICAL PRACTICES OF ANTIETAM LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Maria Scuderi | Nurse Practitioner | Medical Practices of Antietam LLC | 13620 Crayton Bouevard, Meritus Primary Care, Hagerstown, MD 21742-2335 |
| Jennifer Lyn Foster | Nurse Practitioner | Medical Practices of Antietam LLC | 8507 Mapleville Rd, Boonsboro, MD 21713-1818 |
| Hussein Hijazi | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Jay B Greenberg | Obstetrics/gynecology | Medical Practices of Antietam LLC | 1130 Professional Ct, Hagerstown, MD 21740-5852 |
| Matthew G Beckwith | Family Medicine | Medical Practices of Antietam LLC | 24 N Walnut St, Suite 100, Hagerstown, MD 21740-4741 |
| Allen Ditto | Family Practice | Medical Practices of Antietam LLC | 13424 Pennsylvania Ave, Suite 101, Hagerstown, MD 21742-2685 |
| Bradley S Ingram | Physician Assistant | Medical Practices of Antietam LLC | 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 |
| Kelli A Strauss | Family Medicine | Medical Practices of Antietam LLC | 13620 Crayton Bouevard, Meritus Primary Care, Hagerstown, MD 21742-2335 |
| Kimberly Anne Olchewsky | Physician Assistant | Medical Practices of Antietam LLC | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 |
| Merih D O Donoghue | Family Medicine | Medical Practices of Antietam LLC | 13620 Crayton Bouevard, Meritus Primary Care, Hagerstown, MD 21742-2335 |
| Street Address |
3 BYRKIT DR |
| City | WILLIAMSPORT |
| State | MD |
| Zip | 21795-1158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hussein Hijazi | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Jennifer Renee Burnett | Nurse Practitioner | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Samuel J. Rao | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Matthew H Gibson | Family Medicine | Medical Practices of Antietam LLC | 3 Byrkit Dr, Williamsport, MD 21795-1158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen J Ciccarelli | Family Medicine | Karen Jill Ciccarelli, M.d. PC | 16605 Kendle Rd, Williamsport, MD 21795-1614 |
| Lisa C Trevan | Anesthesiology | 10212 Governor Lane Blvd, Unit 1004, Williamsport, MD 21795-4088 |
| City | WILLIAMSPORT |
| Zip Code | 21795 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILLIAMSPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tania R Crussiah.
| 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.