Taxonomy Code 302F00000X(302f00000x)
Exclusive Provider Organization. Providers: 42
Select City
A
B
C
D
E
G
H
J
K
L
N
O
R
S
T
U
W
Exclusive Provider Organization Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. DMD,LLC David Ward Sheets |
Individual |
4000 Thayer Ctr Oakland, MD |
|
|
Starlight Health Services Llc |
Organization |
12656 Heming Ln Bowie, MD |
|
|
Veterans Affairs Maryland Health Care System |
Organization |
10 N Greene St Baltimore, MD |
|
|
Avesis Third Party Administrators, Inc. |
Organization |
10324 S Dolfield Rd Owings Mills, MD |
|
|
Jbs, Inc |
Organization |
8621 Walther Blvd Nottingham, MD |
|
|
Aaa Lovely Care, Llc |
Organization |
607 University Blvd W Silver Spring, MD |
|
|
Aaa Lovely Care Llc |
Organization |
607 University Blvd W Silver Spring, MD |
|
|
Type 1 Individual Provider |
Organization |
1620 Elton Rd Silver Spring, MD |
|
|
Medstar Family Choice, Inc |
Organization |
8094 Sandpiper Cir Suite O Baltimore, MD |
|
|
Mentoring The Future Inc |
Organization |
1816 Graybird Ct Severn, MD |
|
|
Ed Optical Llc |
Organization |
3370 Leonardtown Rd Suite 232 Waldorf, MD |
|
|
North Bethesda Dental Care |
Organization |
11125 Rockville Pike Suite G2 Rockville, MD |
|
|
Avesis Incorporated |
Organization |
10324 S Dolfield Rd Owings Mills, MD |
|
|
Drs Shuman Seff Lammlein And Herr Pa |
Organization |
300 Hospital Dr Suite 121 Glen Burnie, MD |
|
|
Kaiser Permanente |
Organization |
10500 Summit Avenue Kensington, MD |
|
|
Ta Health Services |
Organization |
8839 Stonebrook Ln Columbia, MD |
|
|
Tristate Health Partners Inc. |
Organization |
10715 Downsville Pike Suite 103 Hagerstown, MD |
|
|
Linda A Walsh Md Pa |
Organization |
3718 Norrisville Rd Suite C Jarrettsville, MD |
|
|
Jay Stephen Margolis Md Pa |
Organization |
8502 Topping Rd Baltimore, MD |
|
|
Matthew Patrick Momoh |
Individual |
216 Prenton St Upper Marlboro, MD |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 302F00000X |
| Display Name | Exclusive Provider Organization |
| Taxonomy Group | Managed Care Organizations |
| Taxonomy Classification | Exclusive Provider Organization |
| Definition | (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Effective Date | September 30, 2009 |