PRIME PEDIATRICS, LLC (NPI# 1316286032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316286032 |
| Entity Type | Organization |
| Organization Name | PRIME PEDIATRICS, LLC |
| Practice Address |
845 Quince Orchard Blvd Ste B Gaithersburg MD 20878-1676 |
| Practice Telephone | 3019772440 |
| Practice Fax Number | 3019774752 |
| Mailing Telephone | 3019772440 |
| Mailing Fax Number | 3019774752 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Authorized Official Name | DR. FARNOUSH JAMALI (OWNER) |
| Authorized Official Telephone | 3019772440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
D0058375 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 0400041 00 | 05 |
| Street Address |
845 QUINCE ORCHARD BLVD STE B |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20878-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812785 | A Plus Pediatrics LLC | Pediatrics | 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878-1676 | 2019-10-10 |
| 1114461845 | Jessica Anne Vossler | Physician Assistant | 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1891253621 | Patricia Jeanette Engel | Speech-Language Pathologist | 851 Quince Orchard Blvd., Brown Station Es, Gaithersburg, MD 20878 | 2019-03-11 |
| 1093270340 | Adeola Atinuke Aremoh | Specialist | 652 Center Point Way, Gaithersburg, MD 20878 | 2019-01-31 |
| 1932606175 | Agnes H. Donahue | Dentist | 7 Melmark Ct, Gaithersburg, MD 20878 | 2018-04-12 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366958654 | Pcd Orthodontics, LLC | Dentist | 11904-d Darnestown Road, North Potomac, MD 20878 | 2017-12-21 |
| 1235677139 | Gaithersburg Anesthesia, LLC | Anesthesiology | 900 Wind River Lane Ste 106, Gaithersburg, MD 20878 | 2017-02-10 |
| 1356884209 | Meaghan Hitt | Behavioral Analyst | 11333 Brandy Hall Ln, North Potomac, MD 20878 | 2016-11-27 |
| 1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
| 1891243390 | Darvin Joy | Pharmacist | 704 Quince Orchard Rd, Gaithersburg, MD 20878 | 2016-09-14 |
| Find all providers in zip 20878 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1225123680 | Rachel Witten | Pediatrics | 17 North Summit Avenue, Suite E, Gaithersburg, MD 20877 | 2006-10-03 |
| 1467621623 | Cecilia Adaobi Nwankwo | Pediatrics | 17 Firstfield Rd, Suite 200, Gaithersburg, MD 20878-1774 | 2008-02-21 |
| 1376501346 | Inna London | Pediatrics | 16220 Frederick Rd, Suite 420, Gaithersburg, MD 20877-4039 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621707 | Montgomery County Maryland Government | Pediatrics | 19401 Crystal Rock Dr, Germantown, MD 20874-1593 | 2020-02-19 |
| 1386191419 | Ganesan,jhansi R. Md, PC | Pediatrics | 8355 Cherry Ln, Laurel, MD 20707-4829 | 2016-09-07 |
| 1346582244 | Katherine Maureen Carlin | Pediatrics | Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 | 2013-03-19 |
| 1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
| 1013123876 | Janet V Johnson | Pediatrics | 3311 Toledo Ter Ste C201, Hyattsville, MD 20782-8148 | 2007-05-15 |
| 1366573784 | Shelley Jane Parr | Pediatrics | University Health Ctr, Bldg. 140, College Park, MD 20742-4711 | 2007-03-08 |
| 1528198652 | Cheryl Lynn Parks | Pediatrics | 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 | 2007-03-07 |
| 1265563001 | Sacared Bodison | Pediatrics | University Health Center - University of Maryland, Building 140, College Park, MD 20742 | 2007-03-07 |
| 1851433965 | Karakat S & Indira V Gokulanathan Ptr | Pediatrics | 9470 Annapolis Rd Ste 311, Lanham, MD 20706-3022 | 2007-02-13 |
| 1528104452 | Maegan Chaney | Pediatrics | 2568a Riva Rd Ste 103, Annapolis, MD 21401-7457 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20878 |
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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.