PEDIATRIC PROFESSIONALS, PC (NPI# 1093976813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093976813 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PROFESSIONALS, PC |
| Practice Address |
106 Irving St Nw Ste 212 Washington DC 20010-2927 |
| Practice Telephone | 2027265800 |
| Practice Fax Number | 2028293753 |
| Mailing Telephone | 2027265800 |
| Mailing Fax Number | 2028293753 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | MR. YARED BELAI (BUSINESS MANAGER/SECRETARY) |
| Authorized Official Telephone | 3015298832 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD035063 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 400605400 | 05 | |
| DC | 045523900 | 05 |
| Street Address |
106 IRVING ST NW STE 212 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730521 | Anna Park | Ophthalmology | 106 Irving St Nw, Ste 321, Washington, DC 20010-2993 | 2005-06-14 |
| 1275177909 | Rabi Lee | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-11-06 |
| 1689215527 | Elshaday Teferi | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-10-02 |
| 1770145708 | Morgan Malpass | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-06-29 |
| 1285100909 | Bianca Cutler | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-10-20 |
| 1588164396 | Blen T Sime | Physician Assistant | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-02-19 |
| 1033620794 | Mariah Covington | Psychologist | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-10-20 |
| 1811410822 | Michael Setzer | Genetic Counselor, MS | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-07-21 |
| 1265974703 | Andrea Frances Goergen | Dietitian, Registered | 106 Irving St Nw, Suite 301, Washington, DC 20010-2927 | 2016-11-15 |
| 1497205769 | Andrea Onufrychuk | Nurse Practitioner | 106 Irving St Nw, Suite 2300, Washington, DC 20010-2927 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362113 | Mebe District of Columbia | Pediatrics | 6218 Georgia Ave Nw Ste 1, Washington, DC 20011-5125 | 2020-10-06 |
| 1821606443 | Theresa R Watkins-bryant | Pediatrics | Howard Univ Hospital 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2020-07-20 |
| 1487273751 | Lynn Rose Goldman | Pediatrics | 950 New Hampshire Ave Nw Fl 7, Washington, DC 20037-2301 | 2020-04-15 |
| 1144787276 | Spring Valley Pediatrics, Pllc | Pediatrics | 4900 Massachusetts Ave Nw Lowr Level, Washington, DC 20016-4358 | 2019-02-25 |
| 1831670900 | Sweeney & Daniel Pediatrics Pllc | Pediatrics | 3301 New Mexico Ave Nw Ste 238, Washington, DC 20016-3610 | 2018-08-27 |
| 1710331673 | Margarita Ramos | Pediatrics | 111 Michigan Ave Nw Ste 700a, Washington, DC 20010 | 2016-04-18 |
| 1679914410 | Roger Cole Herdman | Pediatrics | 4710 Windom Pl Nw, Washington, DC 20016-2406 | 2013-07-09 |
| 1215371000 | Zeina Dalu Nieto | Pediatrics | 100 Wellness Way Bldg 2, Washington, PA 15301-9706 | 2013-04-23 |
| 1790028850 | Omar Jaber | Pediatrics | 650 Pennsylvania Ave Se Ste C100, Washington, DC 20003-4368 | 2013-03-27 |
| 1356680201 | Jacqueline Duvall Williams-mcmorris | Pediatrics | 1227 25th St., N.w., Washington, DC 20037 | 2013-02-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on PEDIATRIC PROFESSIONALS, PC.
| 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.