Jean Elizabeth Prevas, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0001683 Issued in MD

Practice address

111 Park Ave
Baltimore, MD 21201-3402

Phone

(443) 703-1228

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD (past)
• Osler Drive Emergency Physcians Associates, P.a.

  • Emergency Medicine Physician
  • Towson, MD
  • NPI 1568421659
  NPD (past)
• Saint Joseph Medical Center , Inc.

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1699862961
  NPD (past)
• St. Joseph Physician Enterprise

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1518143304
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1073594941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 MEADOWCLIFF RD",
            "city": "GLEN ARM",
            "state": "MD",
            "postal_code": "210579536",
            "telephone_number": "410-592-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013402",
            "telephone_number": "443-703-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVAS",
        "first_name": "JEAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pretty Angels Nursing Services, Inc.
• Maryahna Pretty
• Michelle Good Prettyman, PT
• Prevail Health Services LLC
• Helen Prevas, M.D.
• Katherine Prevas, PA-C
• Danielle Previ, PHD
• Prevision Strategies and Analytics, LLC
• Brittany Corrine Prevost, MD
• Marina Prezenchuk

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.