MEDICARE: MS. DEBRA S G JAVINS PAC

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	363A00000X	Physician Assistant	C0000946	MD

General Provider Information

NPI Number	:	1710055124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA S G JAVINS PAC

Provider Business Mailing Address
First Line	:	2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI
Second Line	:	KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
City	:	ROCKVILLE
State	:	MD
Zip	:	20852
Country	:	US
Telephone Number	:	301-816-6660
Fax Number	:	301-816-6308

Provider Business Practice Location Address
First Line	:	7141 SECURITY BLVD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-1811
Country	:	US
Telephone Number	:	443-663-6412
Fax Number	:	443-663-6411

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	12/23/2011

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1295735603 — DR. HARRY ROBERT SHAW D.M.D.
Practice Location Address:

7147 SECURITY BLVD , SUITE 100 BOULEVARD PLACE
WINDSOR MILL, MD
21244-1811

Practice Phone: 410-298-8787
Practice Fax: 410-298-0146

1518039734 — CHRISTOPHER WU MD
Practice Location Address:

7141 SECURITY BLVD , KAISER PERMANENTE WOODLAWN MEDICAL CENTER
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-663-6000
Practice Fax:

1417013418 — MS. HARRIET A TOOTLE CRNP
Practice Location Address:

7141 SECURITY BOULEVARD , KAISER PERMANENTE PPQA 6 WEST ATTN THERESA BROOKS
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-663-6170
Practice Fax: 443-663-6308

1346399649 — MICHAEL BRYANT DDS
Practice Location Address:

7147 SECURITY BLVD STE 100
WINDSOR MILL, MD
21244-1811

Practice Phone: 443-200-2915
Practice Fax: 443-200-3827

Directions to “ MS. DEBRA S G JAVINS PAC” 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.