PRINCE GEORGE HOSPITAL CENTER (NPI# 1194976035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194976035 |
| Entity Type | Organization |
| Organization Name | PRINCE GEORGE HOSPITAL CENTER |
| Practice Address |
3001 Hospital Dr Cheverly MD 20785-1189 |
| Practice Telephone | 3016182000 |
| Mailing Telephone | 3016182000 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | CHRISTEN LEDDER (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 3016182000 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
C003872 | MD | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851533632 | Prince George Hospital Center | General Acute Care Hospital | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2009-03-25 |
| Street Address |
3001 HOSPITAL DR |
| City | CHEVERLY |
| State | MD |
| Zip Code | 20785-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230390 | Karyn E White | Obstetrics & Gynecology | 3001 Hospital Dr, Perinatal Diagnostic Center, Cheverly, MD 20785-1189 | 2005-07-29 |
| 1952928905 | Mariyam Ibironke Popoola | Nurse Anesthetist, Certified Registered | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-06-25 |
| 1699391771 | Theresa Kathryn Liberatori | Social Worker | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-06-24 |
| 1467078923 | Miguel Sanchez | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-06-22 |
| 1487270286 | Hannah Ward Peeples | Physician Assistant | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-06-18 |
| 1346865755 | Patrick North | Physician Assistant | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-06-11 |
| 1265052658 | Andrew Brownlee Bathe | Physician Assistant | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-04-26 |
| 1730717885 | Ami Jayesh Jani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-04-01 |
| 1376170605 | Tekabe Nigussie Birhane | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-03-25 |
| 1497380620 | Brittany Livingston | Social Worker | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730622747 | Guardian Network | General Acute Care Hospital | 2020 Brooks Dr Apt 218, District Heights, MD 20747-1047 | 2016-11-22 |
| 1922354075 | Dimension Health Care | General Acute Care Hospital | 603 Fairmeade Ct, Linthicum, MD 21090 | 2012-07-26 |
| 1215294897 | Howard University Hospital | General Acute Care Hospital | 11506 Bucknell Dr, Apt # 204, Silver Spring, MD 20902-2836 | 2012-04-19 |
| 1033251467 | Washington Hospital Center | General Acute Care Hospital | 14412 Burslem Ter, Burtonsville, MD 20866-2014 | 2007-02-13 |
| 1467702613 | Saint Agnes Hospital | General Acute Care Hospital | 900 S Caton Ave, Baltimore, MD 21229-5201 | 2012-09-14 |
| 1164771721 | St Agnes Hospital | General Acute Care Hospital | 900 S Caton Ave, Dept .of Surgery, Baltimore, MD 21075 | 2012-08-29 |
| 1790099877 | War Memorial Hospital, Inc. | General Acute Care Hospital | 2 Tonoloway St, Hancock, MD 21750-1310 | 2010-08-02 |
| 1093959884 | University of Maryland Medical Center | General Acute Care Hospital | 22 S Greene St, Room N4e40, Baltimore, MD 21201-1544 | 2009-04-24 |
| 1578760690 | Washington Adventist Hospital | General Acute Care Hospital | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-07-02 |
| 1841404944 | Washington Adventist Family Pharmacy | General Acute Care Hospital | 7610 Carroll Ave, Takoma Park, MD 20912-6384 | 2007-05-09 |
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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.