Amber Vasold

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C05979 Issued in MD

Practice address

16 Aberdeen Shopping PLZ
Aberdeen, MD 21001-2247

Phone

(410) 272-8844

Fax

(410) 272-8910

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Agape Physical Therapy and Sports Rehabilitation LP 684 clinicians

Umms Ambulatory Care LLC 53 clinicians

Andrew Mrowiec MD LLC 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew Mrowiec MD LLC

  • Legal Medicine
  • Aberdeen, MD
  • NPI 1881878700

  MD

  Medicare reassignment Care Compare group
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Denton, MD
  • NPI 1487251997

  MD

  Medicare reassignment Care Compare group
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bowie, MD
  • NPI 1093130924

  DC

  Medicare reassignment NPD
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Hanover, MD
  • NPI 1780395392
  NPD
• Statcare Group, LLC

  • Urgent Care Clinic/Center
  • Prince Frederick, MD
  • NPI 1780156455
  NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Fallston, MD
  • NPI 1770180283
  NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1801651674
  NPD
• MNR Industries LLC

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1013389683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ABERDEEN SHOPPING PLZ",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012247",
            "telephone_number": "410-272-8844",
            "fax_number": "410-272-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ABERDEEN SHOPPING PLZ",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012247",
            "telephone_number": "410-272-8844",
            "fax_number": "410-272-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASOLD",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Chesapeake Primary Care,LLC
• Upper Chesapeake Radiation Oncology, LLC
• Upper Chesapeake Surgical Associates, LLC
• Joy Okwuchi Uwandu
• Robin Lynn Vance-Ishak, O. D.
• Kaylee Venters, PT, DPT
• Ranjana Verma, M.D.
• Virtuous Inc
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• All providers in Aberdeen, MD
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.