PG COMMUNITYPEDIATRIC AND ADOLESCENT HEALTH CENTER INC. (NPI# 1275173031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275173031 |
| Entity Type | Organization |
| Organization Name | PG COMMUNITYPEDIATRIC AND ADOLESCENT HEALTH CENTER INC. |
| Practice Address |
6122 Landover Rd Cheverly MD 20785-1016 |
| Mailing Address |
8420 Victory Ln Potomac MD 20854-3562 |
| Practice Telephone | 3013222411 |
| Mailing Telephone | 3019806417 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | DR. MODUPE F ODUNUGA (PRESIDENT) |
| Authorized Official Telephone | 3013222411 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
6122 LANDOVER RD |
| City | CHEVERLY |
| State | MD |
| Zip Code | 20785-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588079 | Modupe Odunuga | Pediatrics | 6122 Landover Rd, Cheverly, MD 20785-1016 | 2005-09-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1932457587 | Cheverly Pediatrics | Pediatrics | 6490 Landover Rd Ste G, Cheverly, MD 20785-1443 | 2012-08-29 |
| 1871588079 | Modupe Odunuga | Pediatrics | 6122 Landover Rd, Cheverly, MD 20785-1016 | 2005-09-13 |
| 1265792873 | Jacqueline Alissa Skelton | Pediatrics | 3001 Hospital Dr, Cheverly, MD 20785 | 2012-05-17 |
| 1063733020 | Temitope O Akinmboni | Pediatrics | 3001 Hospital Dr, Cheverly, MD 20785-1189 | 2010-06-14 |
| 1578701348 | Amber Gilchrist | Pediatrics | 6001 Landover Rd, Suite 5, Cheverly, MD 20785-1143 | 2009-01-31 |
| 1508982935 | Rita U Onyewuenyi | Pediatrics | 6001 Landover Rd, Suite 5, Cheverly, MD 20785-1143 | 2007-03-21 |
| 1477578979 | Donald Chukwuemeka Egbuonu | Pediatrics | 3001 Hospital Dr, Mt Washington Peds Hospital, 6th Floor Pghc, Cheverly, MD 20785-1189 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554031 | Mebe Maryland | Pediatrics | 11140 Rockville Pike # 565, Rockville, MD 20852-3106 | 2020-10-06 |
| 1982219739 | Jennifer Blansett | Pediatrics | 103 Centennial St Ste C, La Plata, MD 20646-5985 | 2020-09-09 |
| 1285248211 | Lauren Mendelsohn-levin, Md LLC | Pediatrics | 6905 Granite Ridge Ct, Baltimore, MD 21209-3856 | 2020-09-08 |
| 1538779509 | Blossoming Minds Pediatrics | Pediatrics | 11723 Trotter Crossing Ln, Clarksville, MD 21029-1445 | 2020-08-05 |
| 1033730668 | Cyd Patrice Campbell | Pediatrics | 102 Southwood Ave, Silver Spring, MD 20901-1917 | 2020-05-05 |
| 1487289757 | Deborah Lindsey | Pediatrics | 6008 Highland Dr, Chevy Chase, MD 20815-6612 | 2020-03-07 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1720625379 | Edge Pediatric LLC | Pediatrics | 7500 Hanover Pkwy Ste 203, Greenbelt, MD 20770-2009 | 2019-12-03 |
| 1790321172 | Lifebridge Metropolitan Physician Group II, LLC | Pediatrics | 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.