MEDICARE: JANE E PINESS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101045298	VA
2	207V00000X	Obstetrics & Gynecology Physician	D0078671	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053382796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE E PINESS MD

Provider Business Mailing Address
First Line	:	26005 RIDGE ROAD
Second Line	:	SUITE 200
City	:	DAMASCUS
State	:	MD
Zip	:	20872-1899
Country	:	US
Telephone Number	:	301-414-2300
Fax Number	:	301-414-2306

Provider Business Practice Location Address
First Line	:	26005 RIDGE ROAD
Second Line	:	SUITE 200
City	:	DAMASCUS
State	:	MD
Zip	:	20872-1899
Country	:	US
Telephone Number	:	301-414-2300
Fax Number	:	301-414-2306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	08/27/2015

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Directions to “ JANE E PINESS MD” Practice Location

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