MARANATHA WEIR GROUP (NPI# 1093012205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093012205 |
| Entity Type | Organization |
| Organization Name | MARANATHA WEIR GROUP |
| Practice Address |
5711 Sarvis Ave Ste 502 Riverdale MD 20737-1366 |
| Practice Telephone | 3019271453 |
| Mailing Telephone | 3019271453 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | DR. YVETTE T.M WEIR-GLADSTONE (OWNER) |
| Authorized Official Telephone | 3019271453 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11178 | MD | Dental Providers |
| Street Address |
5711 SARVIS AVE STE 502 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1508134842 | Sookie Hwang | Dentist | 51 State Rt 23 Ste 1, Riverdale, NJ 07457-1625 | 2011-12-01 |
| 1295908614 | Daniel Redie General Dentistry | Dentist | 1849 Highway 138 Sw, Riverdale, GA 30296-1812 | 2008-04-07 |
| 1588871115 | Terry L Mcculloch | Dentist | 7557 Hwy 85, Riverdale, GA 30274 | 2007-05-16 |
| 1174744148 | Peter Louis Calomeris | Dentist | 6201 Baltimore Ave, Riverdale, MD 20737-1020 | 2007-05-01 |
| 1134251648 | Smiles Dental Lab, Inc. | Dentist | 6030 Highway 85 Ste 240, Riverdale, GA 30274-1535 | 2007-03-10 |
| 1104968304 | Ivanhoe Dental Group, Ltd. | Dentist | 61 W 144th St, Riverdale, IL 60827-2850 | 2007-02-13 |
| 1457491771 | Donald C. Bogert Jr. | Dentist | 27 Newark Pompton Tpke, Riverdale, NJ 07457-1143 | 2007-02-07 |
| 1396820775 | Fredrico Albert Dixon IIi | Dentist | 7218 Highway 85, Riverdale, GA 30274-2908 | 2006-10-26 |
| 1457432312 | Kashia Figueroa | Dentist | 6200 Baltimore Ave, Suite 200, Riverdale, MD 20737-1054 | 2006-10-18 |
| Find all providers in RIVERDALE | ||||
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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.