Jillyn Beth Hebert, MPH, PA-C (MSHS)

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C02364 Issued in MD

Practice address

1500 Forest Glen Road
Holy Cross Hospital Interventional Radiology
Silver Spring, MD 20910

Phone

(301) 754-7350

Fax

(301) 754-7376

NPI assigned

May 11, 2006

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jillyn Beth Zentgraf Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jhebert910741@direct.hopkinsmedicine.org

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.

• Dimensions Healthcare Associates, Inc.

  dba PGHC Anesthesia Associates

  • Anesthesiology Physician
  • Largo, MD
  • NPI 1346354834

  DC

  Medicare reassignment
• Clinical Imaging of Silver Spring LLC

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1801075882
  NPD (past)
• Clinical Radiologists Medical Imaging PA

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1871503912
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1801846944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN ROAD",
            "address_2": "HOLY CROSS HOSPITAL INTERVENTIONAL RADIOLOGY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-754-7350",
            "fax_number": "301-754-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN ROAD",
            "address_2": "HOLY CROSS HOSPITAL INTERVENTIONAL RADIOLOGY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-754-7350",
            "fax_number": "301-754-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "JILLYN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MPH, PA-C (MSHS)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002364",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C02364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLYN",
            "last_name": "ZENTGRAF",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "MPH, PA-C (MSHS)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Surgical Physician Assistant in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.