Provider Demographics
NPI:1043285208
Name:KARNES-AMZIBEL, PATRICIA JEAN (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JEAN
Last Name:KARNES-AMZIBEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21636-1126
Mailing Address - Country:US
Mailing Address - Phone:410-634-2380
Mailing Address - Fax:339-082-2878
Practice Address - Street 1:316 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:MD
Practice Address - Zip Code:21636
Practice Address - Country:US
Practice Address - Phone:410-634-2380
Practice Address - Fax:339-082-2878
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH56873207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD521116591OtherTRICARE
MD13294OtherPRIORITY PARTNERS
MD288445OtherMAMSI/ALLIANCE
MD6518325OtherCIGNA
MD7312516OtherAETNA
MD735685OtherNCPPO
MD784381000Medicaid
MDT5880011OtherCF BC/BS GRP/GHMSI/BL CHO
MD111959OtherCOVENTRY
MD521116591OtherMARYLAND PHYSICIANS CARE
MD61142202OtherCAREFIRST BC/BS RENDERING
MD888445OtherOPTIMUM CHPICE/MDIPA
MD521116591OtherINFORMED
MDP15377OtherCAREFIRST BC/BS POS
H33767Medicare UPIN
MD784381000Medicaid
MDP15377OtherCAREFIRST BC/BS POS