OUTREACH MD LLC (NPI# 1235584384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235584384 |
| Entity Type | Organization |
| Organization Name | OUTREACH MD LLC |
| Practice Address |
4201 Northview Dr Suite 501 Bowie MD 20716-2604 |
| Mailing Address |
2124 4th Ave S Birmingham AL 35233-2204 |
| Practice Telephone | 4102201111 |
| Mailing Telephone | 2052798981 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | DR. EHSAN ABDESHAHIAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4053060384 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 0714704 | 05 |
| Street Address |
4201 NORTHVIEW DR SUITE 501 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689979171 | Bay Area Orthopaedics & Sports Medicine | Durable Medical Equipment & Medical Supplies | 4201 Northview Dr, Suite 101, Bowie, MD 20716-2604 | 2011-01-14 |
| 1992352231 | Vanessa Ohakam | Nurse Practitioner | 4201 Northview Dr, Bowie, MD 20716-2604 | 2019-08-21 |
| 1982143566 | Chesapeake Open Mri LLC | Radiology | 4201 Northview Dr, Suite 105, Bowie, MD 20716-2604 | 2017-02-16 |
| 1154868461 | Meheza Adja-poroky | Nurse Practitioner | 4201 Northview Dr, Suite 410, Bowie, MD 20716-2604 | 2017-01-24 |
| 1639611585 | Injurymd 1st | Physical Medicine & Rehabilitation | 4201 Northview Dr, Suite 501, Bowie, MD 20716-2604 | 2016-11-09 |
| 1528416476 | Jackline Kiplagat | Nurse Practitioner | 4201 Northview Dr, Suite 410, Bowie, MD 20716-2604 | 2016-06-01 |
| 1407199334 | Annapolis Hand Center LLC | Occupational Therapist | 4201 Northview Dr, Suite 101, Bowie, MD 20716-2604 | 2013-03-28 |
| 1083992333 | Stacey Ann Elizabeth Santiago | Nurse Practitioner | 4201 Northview Dr, Ste 525, Bowie, MD 20716-2604 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1982106928 | Jc Health Center LLC | Clinic/Center | 8908 Elm Ave, Bowie, MD 20720-3612 | 2018-03-06 |
| 1376668889 | Holding Chiropractic Clinic LLC | Clinic/Center | 4343 Northview Dr, Bowie, MD 20716-2602 | 2007-03-21 |
| 1942812441 | Adequate Healthcare LLC | Clinic/Center | 15001 Jandleway Ct, Bowie, MD 20721-7299 | 2020-08-18 |
| 1265536700 | Dimensions Health Corporation | Clinic/Center | 15001 Health Center Dr, Bowie, MD 20716-1017 | 2006-09-12 |
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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.