COMMUNITY CLINIC, INC. (NPI# 1275876617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275876617 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC, INC. |
| Practice Address |
9220 Springhill Drive Greenbelt MD 20770-1203 |
| Mailing Address |
8630 Fenton St Suite 1204 Silver Spring MD 20910-3806 |
| Practice Telephone | 2406242278 |
| Practice Fax Number | 2406242279 |
| Mailing Telephone | 3017407525 |
| Mailing Fax Number | 2404992602 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. MARGARET Y CHANG (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2404992615 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 130061000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063754026 | Community Clinic, Inc. | Pediatrics | 8210 Dixon Ave, Silver Spring, MD 20910-5711 | 2013-03-18 |
| 1265676738 | Community Clinic, Inc. | Clinic/Center | 9001 Edmonston Road, Suite 40, Greenbelt, MD 20770 | 2009-04-28 |
| 1699817775 | Community Clinic, Inc. | Clinic/Center | 220 Girard St, Gaithersburg, MD 20877-3467 | 2007-02-13 |
| 1790730281 | Community Clinic, Inc. | Clinic/Center | 7676 New Hampshire Avenue, Suite 220 A, Takoma Park, MD 20912 | 2006-05-23 |
| 1336514223 | Community Clinic, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-12-03 |
| 1760805139 | Community Clinic, Inc. | Clinic/Center | 1400 Spring St, Suite 200, Silver Spring, MD 20910-2735 | 2014-01-21 |
| 1073934238 | Community Clinic, Inc. | Family Medicine | 7620 Carroll Ave, Suite 101, Takoma Park, MD 20912-6387 | 2013-12-13 |
| 1285927038 | Community Clinic, Inc. | Clinic/Center | 3737 N Meridian St, Suite 402, Indianapolis, IN 46208-4348 | 2011-05-25 |
| 1922133164 | Community Clinic, Inc. | Voluntary or Charitable | 8630 Fenton Street, Suite 1204, Silver Spring, MD 20910 | 2007-02-21 |
| Street Address |
9220 SPRINGHILL DRIVE |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184935397 | Lorri-anne Burke | Family Medicine | 9220 Springhill Drive, Greenbelt, MD 20770 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| 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 |
|---|---|---|---|---|
| 1750702049 | Omega Family Clinic | Family Medicine | 7203 Hanover Pkwy Ste B, Greenbelt, MD 20770-2000 | 2014-01-03 |
| 1386089373 | Keshav Primary Care, LLC | Family Medicine | 7525 Greenway Center Dr Ste 210, Greenbelt, MD 20770-3525 | 2013-05-03 |
| 1184935397 | Lorri-anne Burke | Family Medicine | 9220 Springhill Drive, Greenbelt, MD 20770 | 2010-06-23 |
| 1942448113 | Southern Maryland Medical Group LLC | Family Medicine | 7500 Greenway Center Dr Ste 1200, Greenbelt, MD 20770-3556 | 2009-01-27 |
| 1720101819 | Physicians Family Practice, Chtrd. | Family Medicine | 115 Centerway, Greenbelt, MD 20770-1836 | 2007-04-06 |
| 1114062775 | Mercy A. Obamogie | Family Medicine | 7225 Hanover Pkwy Ste A, Greenbelt, MD 20770-2024 | 2007-02-21 |
| 1578636858 | Greenbelt Medical Center | Family Medicine | 7525 Greenway Center Dr Ste T3, Greenbelt, MD 20770-3527 | 2006-11-16 |
| 1841389111 | Maria L Restrepo | Family Medicine | 8955 K Edmonston Rd, Greenbelt, MD 20770-4036 | 2006-10-12 |
| 1124057260 | Ndubuisi C Achufusi | Family Medicine | 7300 Hanover Dr Ste 103, Greenbelt, MD 20770-2250 | 2006-07-01 |
| 1326083940 | Eveline Biyoga Ane | Family Medicine | 7219 Hanover Pkwy, Suite B, Greenbelt, MD 20770-2021 | 2006-06-18 |
| Find all providers in GREENBELT | ||||
Please comment or provide details below to improve the information on COMMUNITY CLINIC, INC..
| 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.