Ethan L Bliss (NPI# 1851428460, PAC ID# 8224219241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1851428460 |
| PAC ID by PECOS | 8224219241 |
| Professional Enrollment ID | I20110224000263 |
| Full Name | Ethan L Bliss |
| Organization Legal Name | CENTER FOR INTEGRATIVE HEALTHCARE, LLC |
| Address |
340 Park Ave Frederick MD 21701-4931 |
| Phone Number | 3016631683 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 7517974256 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 340 Park Ave, Frederick, MD 21701-4931 | 3016631683 | CENTER FOR INTEGRATIVE HEALTHCARE, LLC |
| Organization Legal Name | CENTER FOR INTEGRATIVE HEALTHCARE, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond R Rother | Clinical Social Worker | Center for Integrative Healthcare, LLC | 340 Park Ave, Frederick, MD 21701-4931 |
| Street Address |
340 PARK AVE |
| City | FREDERICK |
| State | MD |
| Zip | 21701-4931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond R Rother | Clinical Social Worker | Center for Integrative Healthcare, LLC | 340 Park Ave, Frederick, MD 21701-4931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Mulhern | Clinical Social Worker | 10124 Old Frederick Rd, Frederick, MD 21701-1948 | |
| Adel Ibrahim | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Rhonda Martin | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Molly Carren | Optometry | Frederick Optometry LLC | 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701-3038 |
| Kelly A Yates | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Jamie M Wood | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Zachary D Baker | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Gregory S Ellis | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Caleb M Fatzinger | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Ashley N Young | Physical Therapy | Rehab 2 Perform LLC | 1341 Hughes Ford Rd, Suite 104, Frederick, MD 21701-3134 |
| Find all physicians in zip 21701 | |||
| City | FREDERICK |
| Zip Code | 21701 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FREDERICK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Ethan L Bliss.
| 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.