Provider Demographics
NPI:1235243734
Name:R. JOAN OSHINSKY MD PHD PA
Entity Type:Organization
Organization Name:R. JOAN OSHINSKY MD PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:R. JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-552-0965
Mailing Address - Street 1:5401 TWIN KNOLLS RD STE 7
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3237
Mailing Address - Country:US
Mailing Address - Phone:410-992-1435
Mailing Address - Fax:844-641-1861
Practice Address - Street 1:5401 TWIN KNOLLS RD STE 7
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3237
Practice Address - Country:US
Practice Address - Phone:410-992-1435
Practice Address - Fax:844-641-1861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00448612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK4380001OtherBCBS
MDG01853J01OtherMEDICARE - NUMBER
MDG01853J01OtherMEDICARE - NUMBER
MDG01853Medicare ID - Type Unspecified
MDK4380001OtherBCBS