Owensville Primary Care, Inc is a Primary Care Nurse Practitioner based in West River, MD and is specialized in Primary Care. Owensville Primary Care, Inc practices in Shady Side, MD. The NPI Number for Owensville Primary Care, Inc is 1174019327 and holds a License No. LC0431 (Maryland).
The current practice location address for Owensville Primary Care, Inc is 6131 Shady Side Rd, Shady Side, MD and can be reached out via phone at 410-867-2200 and via fax at 410-867-1261.
Location: 6131 Shady Side Rd, Shady Side, MD, 20778-9702
Provider Profile Details
NPI Number
1174019327
Provider Name
Owensville Primary Care, Inc
Credential
Provider Entity Type
Organization
Address
6131 Shady Side Rd, Shady Side, MD, 20778-9702
Phone Number
410-867-2200
Fax Number
410-867-1261
Provider Enumeration Date
07/10/2018
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400629100 | 05 | MD | |
| 531981100 | 05 | MD | |
| 209002300 | 05 | MD | |
| 338427600 | 05 | MD | |
| 103559201 | 05 | MD | |
| 404482700 | 05 | MD | |
| 97991100 | 05 | MD |
Provider Business Practice Location Address Details
Address
6131 Shady Side Rd
City
State
Zip
20764-9504
Phone Number
410-867-2200
Fax Number
410-867-1261
Provider Business Mailing Address Details
Address
6131 Shady Side Rd
City
State
Zip
20764-9504
Phone Number
410-867-2200
Fax Number
410-867-1261
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
C0003844 (Maryland)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
H0076407 (Maryland)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
License No.
D0038563 (Maryland)
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
H78924 (Maryland)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
LC0431 (Maryland)
Definition
Definition to come...
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