MEDICARE: MRS. COLLEEN LOUISE OHM PA-C

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	C0003669	MD

General Provider Information

NPI Number	:	1760661672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. COLLEEN LOUISE OHM PA-C

Provider Business Mailing Address
First Line	:	12830 HOLIDAY LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1140
Country	:	US
Telephone Number	:	410-937-6735
Fax Number	:

Provider Business Practice Location Address
First Line	:	12830 HOLIDAY LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1140
Country	:	US
Telephone Number	:	410-937-6735
Fax Number	:

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

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	10/26/2007

Similar Medicare Providers

1902786460 — BOBGA CLAUMAN
Practice Location Address:

12844 HOLIDAY LN
BOWIE, MD
20716-1140

Practice Phone: 651-210-1835
Practice Fax:

1316169758 — DR. CHERYL LUNDEBERG LONERGAN M.D.
Practice Location Address:

4201 NORTHVIEW DR STE 200
BOWIE, MD
20716-2640

Practice Phone: 443-637-2888
Practice Fax:

1639038995 — MARIE MAGALI IONA MPONDI MOUKOKO
Practice Location Address:

3757 EIGHT PENNY LN
BOWIE, MD
20716

Practice Phone: 202-796-5000
Practice Fax:

1811856180 — MALLAURY KETSIA MONNY MOUKOKO
Practice Location Address:

3757 EIGHT PENNY LN
BOWIE, MD
20716

Practice Phone: 202-796-5000
Practice Fax:

1306695424 — DIMENSIONS HEALTHCARE ASSOCIATES INC
Practice Location Address:

14999 HEALTH CENTER DR STE 201
BOWIE, MD
20716-1087

Practice Phone: 301-809-2013
Practice Fax:

1447009568 — DIMENSIONS HEALTHCARE ASSOCIATES INC
Practice Location Address:

14999 HEALTH CENTER DR STE 201
BOWIE, MD
20716-1087

Practice Phone: 301-809-2013
Practice Fax:

Directions to “ MRS. COLLEEN LOUISE OHM PA-C” 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.