DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VASCULAR ACCESS CENTER OF PRINCE GEORGES COUNTY LLC

MEDICARE: VASCULAR ACCESS CENTER OF PRINCE GEORGES COUNTY LLC
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
1207RN0300XNephrology Physician
22083P0901XPublic Health & General Preventive Medicine Physician
32085R0204XVascular & Interventional Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DF1638OTHERMDRRW
21231186OTHERMDAETNA
333QDVAOTHERMDCAREFIRST BCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518996644
Entity Type Code : Organization
Provider Name (Legal Business Name) : VASCULAR ACCESS CENTER OF PRINCE GEORGES COUNTY LLC
Provider Business Mailing Address
First Line : 1019 BRIGHTSEAT RD
Second Line :
City : LANDOVER
State : MD
Zip : 20785-3738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1019 BRIGHTSEAT RD
Second Line :
City : LANDOVER
State : MD
Zip : 20785-3738
Country : US
Telephone Number : 301-350-6009
Fax Number :
Authorized Official
Title or Position : CEO
Name : KIMBERLY J PARKINSON
Credential :
Telephone Number : 215-382-3680
Provider Enumeration Date : 07/01/2006
Last Update Date : 06/27/2013

Similar Medicare Providers

1194674200 — ADVITA HEALTH LLC
Practice Location Address:
1051 BRIGHTSEAT RD
LANDOVER, MD
20785-3738
Practice Phone: 240-487-4400
Practice Fax:
1386651552 — WILLIAM D YU MD
Practice Location Address:
1019 BRIGHTSEAT RD
LANDOVER, MD
20785-3738
Practice Phone: 301-350-6009
Practice Fax:
1487215182 — M MANAGEMENT GROUP LLC
Practice Location Address:
1051 BRIGHTSEAT RD
LANDOVER, MD
20785-3738
Practice Phone: 240-487-4400
Practice Fax:
1497376867 — DANIELLE MARIE BAGLEY M.S., CCC-SLP
Practice Location Address:
1051 BRIGHTSEAT RD
LANDOVER, MD
20785-3738
Practice Phone: 240-487-4400
Practice Fax:
1013539352 — ELIZABETH OLIVETO MS CCC-SLP
Practice Location Address:
1051 BRIGHTSEAT RD
LANDOVER, MD
20785-3738
Practice Phone: 240-487-4400
Practice Fax:
1992318307 — KAYLA DUNN
Practice Location Address:
1051 BRIGHTSEAT RD
LANDOVER, MD
20785-3738
Practice Phone: 240-487-4400
Practice Fax:

Directions to “VASCULAR ACCESS CENTER OF PRINCE GEORGES COUNTY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.