COMMUNITY CLINIC, INC. (NPI# 1063754026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063754026 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC, INC. |
| Practice Address |
8210 Dixon Ave Silver Spring MD 20910-5711 |
| Mailing Address |
8630 Fenton St Suite 1204 Silver Spring MD 20910-3806 |
| Practice Telephone | 3015851250 |
| Practice Fax Number | 3015856289 |
| Mailing Telephone | 3017407525 |
| Mailing Fax Number | 2404992602 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. MARGARET Y CHANG (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2404992615 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 130061000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265676738 | Community Clinic, Inc. | Clinic/Center | 9001 Edmonston Road, Suite 40, Greenbelt, MD 20770 | 2009-04-28 |
| 1699817775 | Community Clinic, Inc. | Clinic/Center | 220 Girard St, Gaithersburg, MD 20877-3467 | 2007-02-13 |
| 1790730281 | Community Clinic, Inc. | Clinic/Center | 7676 New Hampshire Avenue, Suite 220 A, Takoma Park, MD 20912 | 2006-05-23 |
| 1336514223 | Community Clinic, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-12-03 |
| 1760805139 | Community Clinic, Inc. | Clinic/Center | 1400 Spring St, Suite 200, Silver Spring, MD 20910-2735 | 2014-01-21 |
| 1073934238 | Community Clinic, Inc. | Family Medicine | 7620 Carroll Ave, Suite 101, Takoma Park, MD 20912-6387 | 2013-12-13 |
| 1275876617 | Community Clinic, Inc. | Dentist | 9220 Springhill Drive, Greenbelt, MD 20770-1203 | 2013-04-04 |
| 1285927038 | Community Clinic, Inc. | Clinic/Center | 3737 N Meridian St, Suite 402, Indianapolis, IN 46208-4348 | 2011-05-25 |
| 1922133164 | Community Clinic, Inc. | Voluntary or Charitable | 8630 Fenton Street, Suite 1204, Silver Spring, MD 20910 | 2007-02-21 |
| Street Address |
8210 DIXON AVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810043 | Zainab Kalokoh Mansaray | Family Medicine | 10230 New Hampshire Ave Ste 340, Silver Spring, MD 20903-1400 | 2020-01-25 |
| 1457878910 | Adebola B Ibirogba | Family Medicine | 209 Hartwell Road, Silver Spring, MD 20901 | 2017-08-25 |
| 1922425446 | Prem Jayanthan | Family Medicine | 12210 Plum Orchard Dr Ste 212, Silver Spring, MD 20904 | 2014-03-21 |
| 1972891596 | Peter Tanna | Family Medicine | 12708 Serpentine Way, Silver Spring, MD 20904-5331 | 2011-07-17 |
| 1043525199 | Lawton Shaw Cooper | Family Medicine | 609 Kenbrook Dr, Silver Spring, MD 20902-3222 | 2010-08-13 |
| 1245472083 | Katharine Rechen Lillie | Family Medicine | Cder Fda, 10903 New Hampshire Ave, Silver Spring, MD 20993-0001 | 2009-03-25 |
| 1801042833 | Byoung K. Lee, Mdpa | Family Medicine | 13000 Georgia Ave, Silver Spring, MD 20906-5330 | 2008-08-11 |
| 1023274586 | Simona Nicoleta Sirbu | Family Medicine | 1776 Powder Mill Rd, Silver Spring, MD 20903-1514 | 2008-08-04 |
| 1205003340 | Charles Christian Briggs | Family Medicine | 1015 University Blvd East, Spanish Catholic Center Medical Clinic, Silver Spring, MD 20903 | 2008-05-08 |
| 1851561286 | Chioma Ohalete | Family Medicine | 8700 Georgia Ave Ste 400, Silver Spring, MD 20910-3605 | 2008-02-29 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.