MIRACLE MEDICAL LLC (NPI# 1225644701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225644701 |
| Entity Type | Organization |
| Organization Name | MIRACLE MEDICAL LLC |
| Practice Address |
6005 Landover Rd Ste 5 Cheverly MD 20785-1145 |
| Mailing Address |
1449 Olive St Ne Apt 2 Washington DC 20019-2707 |
| Practice Telephone | 2406030502 |
| Mailing Telephone | 2406030502 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | TIFFANY MAPP (OWNER PROVIDER) |
| Authorized Official Telephone | 2406030502 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6005 LANDOVER RD STE 5 |
| City | CHEVERLY |
| State | MD |
| Zip Code | 20785-1145 |
| 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 | 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 |
|---|---|---|---|---|
| 1649667940 | Uloma C Ibe | Family Medicine | 2900 Mercy Ln Fl 3, Cheverly, MD 20785 | 2015-04-24 |
| 1023521580 | Cynthia Ann Vaughn | Family Medicine | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2017-11-07 |
| 1639523731 | Chioma Blessingpeace Akwara | Family Medicine | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2016-04-15 |
| 1376771279 | Evangeline C. Obi | Family Medicine | 2900 Mercy Ln, Cheverly, MD 20785-1157 | 2009-06-30 |
| 1457496614 | Elwood S. Holland, M.d., P.a. | Family Medicine | 6005 Landover Rd, Ste. 3, Cheverly, MD 20785-1145 | 2007-02-21 |
| 1821136466 | Elwood Samuel Holland | Family Medicine | 6005 Landover Rd, Ste. 3, Cheverly, MD 20785-1145 | 2007-02-04 |
| 1891859237 | Samuel W Alleyne | Family Medicine | 6001 Landover Rd, Suite 8, Cheverly, MD 20785-1143 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIRACLE MEDICAL LLC.
| 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.