SHEPHERD PARK MEDICAL CENTER


Address: 7733 Alaska Ave Nw, Washington, DC 20012-1421
Phone: 2028825300

SHEPHERD PARK MEDICAL CENTER (NPI# 1285094995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285094995
Entity Type Organization
Organization Name SHEPHERD PARK MEDICAL CENTER
Practice Address 7733 Alaska Ave Nw
Washington
DC 20012-1421
Practice Telephone 2028825300
Practice Fax Number 2028823758
Mailing Telephone 2028825300
Mailing Fax Number 2028823758
Enumeration Date 2016-02-24
Last Update Date 2016-02-24
Authorized Official Name AMIRA RAZZAK BADAWAY (OFFICE MANAGER)
Authorized Official Telephone 2028825300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
MD16145 DC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
DC 024734400 05

Office Location

Street Address 7733 ALASKA AVE NW
City WASHINGTON
State DC
Zip Code 20012-1421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992808950 Danny Adel Mamodesene Internal Medicine 7733 Alaska Ave Nw, Washington, DC 20012-1421 2006-09-06
1407273923 Metrobest Clinic LLC Clinic/Center 7733 Alaska Ave Nw, Washington, DC 20012-1421 2014-03-21
1144454141 Dora Mamodesene,md,pc Clinic/Center 7733 Alaska Ave Nw, Nw, Washington, DC 20012-1421 2009-05-06

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1235641697 New Living Healthcare Services LLC Home Health 7600 Georgia Ave Nw Ste 403, Washington, DC 20012 2017-10-25
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1184167249 Nnamdi Nweke Home Health Aide 7268 Eastern Avenue, 400, Washington, DC 20012 2016-11-22
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275182560 Dervan Healthcare Services LLC Clinic/Center 3849 Pennsylvania Ave Se, Washington, DC 20020-1309 2019-09-09
1952869984 Collin D. Cullen, M.d., LLC Clinic/Center 5410 Connecticut Ave Nw Ste 117, Washington, DC 20015-2831 2019-03-08
1356889406 Godswill O Okoji Md Inc. Clinic/Center 1809 Benning Rd Ne, Washington, DC 20002-7211 2017-02-09
1568845832 Sole Proprietor Clinic/Center 510 Locust Ave, Washington, PA 15301-3331 2015-07-06
1457738122 Medical Ambassador Healthcare, LLC Clinic/Center 1220 L St Nw, Suite 100-275, Washington, DC 20005-4018 2015-05-01
1417350828 Premium Select Clinic/Center 4303 F St Se, Washington, DC 20019-4253 2014-09-30
1316349202 Heritage Visiting Practitioners, LLC Clinic/Center 150 N 1100 E Unit 49, Washington, UT 84780-2882 2014-09-22
1043621535 Jacqueline Mclaughlin-edwards Clinic/Center 4061 Minnesota Ave Ne, Washington, DC 20019-3541 2014-05-19
1689907024 Helen Lindsay Thompson Clinic/Center 3125 Cleveland Ave Nw, Washington, DC 20008-3534 2009-09-17
1831319276 Julia Liss Clinic/Center 3105 14th Street Nw, Washington, DC 20010 2007-04-26
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Competitor

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City WASHINGTON
Zip Code 20012

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Dataset Information

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.

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