MGMC, LLC (NPI# 1295133528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295133528 |
| Entity Type | Organization |
| Organization Name | MGMC, LLC |
| Other Organization Name | MEDSTAR GEORGETOWN ORTHO INST |
| Practice Address |
8926 Woodyard Rd Suite 602 Clinton MD 20735-4220 |
| Mailing Address |
2000 15th St N Suite 600 Arlington VA 22201-2683 |
| Practice Telephone | 3018561682 |
| Practice Fax Number | 3015990943 |
| Mailing Telephone | 8888961400 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7035581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MGMC,LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEDSTAR GEORGETOWN ORTHO INST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306348073 | Mgmc, LLC | General Practice | 1120 20th St Nw Frnt 1, Washington, DC 20036-3411 | 2018-03-08 |
| 1750883427 | Mgmc, LLC | General Practice | 106 Irving St Nw Ste 5000, Washington, DC 20010-2981 | 2018-03-08 |
| 1679075345 | Mgmc, LLC | General Practice | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2018-03-08 |
| 1497257166 | Mgmc, LLC | General Practice | 18109 Prince Philip Dr Ste 325, Olney, MD 20832-1576 | 2018-03-08 |
| 1801264338 | Mgmc, LLC | General Practice | 3800 Reservoir Rd Nw, Main Building, First Floor, Washington, DC 20007-2113 | 2015-09-15 |
| 1265800791 | Mgmc, LLC | General Practice | 3800 Reservoir Rd Nw, Gorman Building, First Floor, Washington, DC 20007-2113 | 2015-09-15 |
| 1992173421 | Mgmc, LLC | General Practice | 3800 Reservoir Rd Nw, Pasquerilla Healthcare Center, Ground Floor, Washington, DC 20007-2113 | 2015-09-15 |
| 1558739748 | Mgmc, LLC | General Practice | 6858 Old Dominion Dr, Second Floor, Mc Lean, VA 22101-3899 | 2015-09-04 |
| 1285002469 | Mgmc, LLC | General Practice | 5530 Wisconsin Ave, Suite 960, Chevy Chase, MD 20815-4404 | 2015-09-04 |
| 1003284282 | Mgmc, LLC | General Practice | 5454 Wisconsin Ave, Barlow Building, 11th Floor, Chevy Chase, MD 20815-6901 | 2015-09-04 |
| Street Address |
8926 WOODYARD RD SUITE 602 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933221 | David J Haidak | Internal Medicine | 8926 Woodyard Rd, Ste 201, Clinton, MD 20735-4231 | 2005-06-23 |
| 1003358201 | Diana Carrera | Student in an Organized Health Care Education/Training Program | 8926 Woodyard Rd, Suite 501, Clinton, MD 20735-4220 | 2016-11-06 |
| 1952788580 | National Rehabilitation Hospital, Inc. | Physical Therapist | 8926 Woodyard Rd, Suite 501, Clinton, MD 20735 | 2015-05-04 |
| 1356740278 | Tosin Fagbemi | Physical Therapist | 8926 Woodyard Rd, Suite 501, Clinton, MD 20735-4220 | 2014-08-15 |
| 1851721773 | Kelli Stewart-johnson | Physical Therapy Assistant | 8926 Woodyard Rd, 701, Clinton, MD 20735-4220 | 2013-11-13 |
| 1548506488 | Chaney Widmer | Genetic Counselor, MS | 8926 Woodyard Rd, Suite 601, Clinton, MD 20735-4220 | 2012-12-21 |
| 1255682589 | Tinsley Simonds Iselin | Physician Assistant | 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 | 2012-09-26 |
| 1174829774 | Luke Johnathan Blankenheim | Physician Assistant | 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 | 2011-01-31 |
| 1821399239 | Timothy Justin Miller | Specialist | 8926 Woodyard Rd, Ste 301, Clinton, MD 20735-4220 | 2010-11-16 |
| 1184930885 | Greater Metropolitan Orthopaedics | Orthopaedic Surgery | 8926 Woodyard Rd, Suite 701, Clinton, MD 20735-4220 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245742808 | Field & Forest Medical, LLC | General Practice | 18565 S Bandy Ln, Clinton, IN 47842-7334 | 2017-11-03 |
| 1144692393 | Complete Wellness and Integrative Health Center Ltd | General Practice | 211 E Quincy St, Clinton, IL 61727 | 2015-10-28 |
| 1154561389 | Altmed Medical Center Inc | General Practice | 8700 Old Branch Ave, Clinton, MD 20735-2522 | 2009-02-27 |
| 1316149727 | Martin A Schiefer | General Practice | 100 Cedar Cove Turtle Creek, Clinton, MS 39056-5428 | 2007-06-05 |
| 1790733855 | Agapito Fajardo | General Practice | 906 N Us 421 Hwy, Clinton, NC 28328-0410 | 2006-05-04 |
| 1851363535 | Vincent S Toussaint | General Practice | 103 Mississippi Drive, Clinton, SC 29325 | 2006-02-06 |
| 1235118837 | Betty A Hibler | General Practice | 1320 Main Ave, Clinton, IA 52732-1923 | 2006-01-11 |
| 1457347379 | Roger E Jones | General Practice | 819 S 3rd St, Clinton, IN 47842-2205 | 2005-09-26 |
| 1073041299 | Russell Wayne Jefferson | General Practice | 501 S 11th St, Clinton, OK 73601-4303 | 2017-06-01 |
| 1710365382 | Mary Annette Pugh Md, Pllc | General Practice | 2500 Highway 65 S, Clinton, AR 72031-6588 | 2015-05-14 |
| Find all providers in CLINTON | ||||
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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.