Daniel Jerrems (NPI# 1336109222, PAC ID# 9234112384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336109222 |
| PAC ID by PECOS | 9234112384 |
| Professional Enrollment ID | I20040609001402 |
| Full Name | Daniel Jerrems |
| Organization Legal Name | LIFEBRIDGE ORTHOPEDIC SPECIALISTS LLC |
| Address |
5415 Old Court Rd S04 Randallstown MD 21133-5170 |
| Phone Number | 4107014437 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082928098 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210012 | SINAI HOSPITAL OF BALTIMORE |
| Address | Phone | Organization |
|---|---|---|
| 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 | 4107014437 | LIFEBRIDGE ORTHOPEDIC SPECIALISTS LLC |
| Organization Legal Name | LIFEBRIDGE ORTHOPEDIC SPECIALISTS LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Ashley | Neurosurgery | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Omar A Zalatimo | Neurosurgery | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Diana Martinez | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Ashley Ann Nonemaker | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Kathleen M Hinderlinder | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Jillienne Rose Caw | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Janell L Miller | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Susan M Kemp | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| James L Frazier | Neurosurgery | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Jason Pakeman Mauro | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Street Address |
5415 OLD COURT RD S04 |
| City | RANDALLSTOWN |
| State | MD |
| Zip | 21133-5170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Ashley | Neurosurgery | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Omar A Zalatimo | Neurosurgery | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Diana Martinez | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Ashley Ann Nonemaker | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Kathleen M Hinderlinder | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Jillienne Rose Caw | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Janell L Miller | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Susan M Kemp | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| James L Frazier | Neurosurgery | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Jason Pakeman Mauro | Physician Assistant | Lifebridge Orthopedic Specialists LLC | 5415 Old Court Rd, S04, Randallstown, MD 21133-5170 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| S Marc Testa | Psychologist, Clinical | Sinai Hospital of Baltimore, Inc | 5401 W Belvedere Ave, Sinai Oncology Associates, Randallstown, MD 21133 |
| Eugene Meyer | General Surgery | 5401 Old Court, Randallstown, MD 21133 | |
| Rachel O Adejoh | Nurse Practitioner | 3669 Offutt Rd, Randallstown, MD 21133-3515 | |
| Veronica A Holland-barner | Nurse Practitioner | 3927 Mcdonogh Rd, Randallstown, MD 21133-3633 | |
| Angel V Shannon | Nurse Practitioner | 9133 Sunset Ridge Rd, Randallstown, MD 21133-3651 | |
| Winter Chanal Wesley | Clinical Social Worker | 9026 Allenswood Rd, Randallstown, MD 21133-3731 | |
| Donald J Hayes | General Practice | 9012 Liberty Rd, Randallstown, MD 21133-3910 | |
| Crystal Greene | Nurse Practitioner | 8632 Windmill Rd, Randallstown, MD 21133-4445 | |
| Angela A Swinson | Preventative Medicine | Ms-hc LLC | 8608 Liberty Rd, Randallstown, MD 21133-4707 |
| Elvira Pasmanik | Internal Medicine | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Find all physicians in zip 21133 | |||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RANDALLSTOWN + PHYSICIAN ASSISTANT |
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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.