Individual provider Active NPI

Maria Elena Marcos Espina, P.A.-C

  • Surgical Physician Assistant
  • Olney, MD
National Provider Identifier
1134242399
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0001066 Issued in MD
Practice address
18109 Prince Philip Dr
Suite 300
Olney, MD 20832-1519
Phone
(301) 570-7203
Fax
(301) 570-8556
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0001066 MD Primary

Addresses

Primary practice location

18109 Prince Philip Dr
Suite 300
Olney, MD 20832-1519

Mailing address

18109 Prince Philip Dr
Suite 300
Olney, MD 20832-1519
Phone (301) 570-7203

Other names 1

  • Marlene Espina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000267 DC Practitioner - Physician Assistant 5193826394 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Aug 12, 2013 Accepting new patients
Professional Services of Holy Cross CurrentSince Dec 28, 2014 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 12, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • Direct secure messaging: mespina84911@direct.trinity-health.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1134242399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 300",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321519",
            "telephone_number": "301-570-7203",
            "fax_number": "301-570-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 300",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321519",
            "telephone_number": "301-570-7203",
            "fax_number": "301-570-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINA",
        "first_name": "MARIA ELENA",
        "middle_name": "MARCOS",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0001066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "ESPINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.