LEISURE WORLD OF MARYLAND, CORP.


Address: 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367
Phone: 3015981590

LEISURE WORLD OF MARYLAND, CORP. (NPI# 1326076894) 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) 1326076894
Entity Type Organization
Organization Name LEISURE WORLD OF MARYLAND, CORP.
Other Organization Name LEISURE WORLD MEDICAL CENTER
Practice Address 3305 N Leisure World Blvd
Silver Spring
MD 20906-1367
Practice Telephone 3015981590
Practice Fax Number 3015981569
Mailing Telephone 3015981590
Mailing Fax Number 3015981569
Enumeration Date 2006-06-30
Last Update Date 2020-08-22
Authorized Official Name VIRGINIA BRONAUGH (ADMINISTRATOR)
Authorized Official Telephone 3015981550
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE CA5483 01
BLUECROSS/BLUE SHIELD B773 01

Other Provider/Organization Names

Other Name Type Code
Leisure World Medical Center Doing Business As Name - Organization

Office Location

Street Address 3305 N LEISURE WORLD BLVD
City SILVER SPRING
State MD
Zip Code 20906-1367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134111354 Gail Linda Rosenberg Pharmacist 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2005-08-16
1013489368 Medstar Medical Group II LLC Psychiatry & Neurology 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2018-12-27
1134648322 Regina Ulis Pharmacist 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2017-09-19
1215314182 National Rehabilitation Hospital, Inc. Physical Therapist 3305 N Leisure World Blvd, Suite 200, Silver Spring, MD 20906-1367 2015-04-30
1700216637 Diana Swenson Physical Therapy Assistant 3305 N Leisure World Blvd, Suite 200, Silver Spring, MD 20906-1367 2013-11-13
1700128279 Cardiology Associates, LLC Specialist 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2013-03-22
1518202365 Medstar Pharmacies, Inc. Pharmacy 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2012-12-05
1114157260 Darlene Brownlee Nurse Practitioner 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2009-07-23
1649438938 Carmen Lanio Devries Dentist 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2008-05-23
1437321965 Zoovia Aman Family Medicine 3305 N Leisure World Blvd, Silver Spring, MD 20906-3302 2008-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255894739 Haika Yonah Mndambi Home Health Aide 2414 Sun Valley Circle, Silver Spring, MD 20906 2019-04-10
1194205153 Khadijah Keita Pharmacy Technician 1512 Woodwell Rd, Silver Spring, MD 20906 2018-08-20
1093233314 Elizabeth Darroch Physical Therapist 3305 North Leisure World Blvd, Silver Spring, MD 20906 2017-09-07
1043699937 Danielle Leslie Porter Registered Nurse 2601 Camelback Ln Apt 3, Silver Spring, MD 20906 2015-05-25
1821418591 Bertha Nyagaya Nyagaya-wojnarski Nurse Practitioner 14511 Layhill Road, Silver Spring, MD 20906 2014-04-22
1467875989 Gifter Assa Home Health Aide 14225 Grand Pre Rd Apt 202, Silver Spring, MD 20906 2014-02-04
1649601923 Global H Care Home Health 3319 Weeping Willow Dr Apt 12, Silver Spring, MD 20906 2013-12-11
1750715074 Jessica I Uagbor Roblin Physical Therapist 3305 N Leisure World Blvd Ste 200, Silver Spring, MD 20906 2013-08-22
1922431428 Dental Center of Aspen Hill, LLC Dentist 13957 Connecticut Avenue, Suite 302, Silver Spring, MD 20906 2013-08-20
1831535772 Solomon Wachira Home Health Aide 2527 Glenalla Ave, Apt 102, Silver Spring, MD 20906 2013-05-20
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033281910 Anna Maria Izquierdo-porrera Internal Medicine 13925 New Hampshire Ave, Silver Spring, MD 20904 2006-11-15
1619361797 Edvardas Kaminskas Internal Medicine 10903 New Hampshire Ave, Bldg. 22, Rm. 2372, Silver Spring, MD 20903-1058 2015-03-26
1538597364 Horizon Adult and Senior Care LLC Internal Medicine 9801 Georgia Ave, Suite 277, Silver Spring, MD 20902-5276 2013-10-14
1225354905 Mitra Hashemi Internal Medicine 8807 Colesville Rd, Second Floor, Silver Spring, MD 20910-4346 2010-04-20
1659401131 Daniel Joel Feirtag Internal Medicine 3110 Gracefield Rd, Silver Spring, MD 20904-1820 2007-03-06
1093730442 Shyamsundar Rajan Internal Medicine 9801 Georgia Ave, Suite 117, Silver Spring, MD 20902-5276 2006-07-13
1366467607 Andrew Kundrat Internal Medicine 3110 Gracefield Rd, Silver Spring, MD 20904-1820 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407409253 Health Practice Partners LLC Internal Medicine 8028 Ritchie Hwy Ste 210b, Pasadena, MD 21122-1059 2019-07-22
1437613163 Johns Hopkins University Internal Medicine 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 2019-01-28
1598252371 Wayne Medical Associate, Inc. Internal Medicine 7207 Hanover Pkwy Ste A, Greenbelt, MD 20770-2089 2018-04-17
1649775933 Old Fashion Medicine, Inc Internal Medicine 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 2018-03-28
1982102943 3s Health LLC Internal Medicine 10400 Connecticut Ave Ste 206, Kensington, MD 20895-3941 2018-01-24
1225572233 Pamela Denise Ponder Internal Medicine 2603 Portola Court, Odenton, MD 21113 2016-12-09
1912371832 Phillip W. Stone, Md, LLC Internal Medicine 16013 Fields End Ct, Woodbine, MD 21797-7542 2015-11-16
1598023194 Health First Medical Care LLC Internal Medicine 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 2012-05-02
1609141795 Mattan Schuchman Internal Medicine 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 2012-03-21
1013204171 Chantal Youssef Internal Medicine 13105 Bucks Ridge Ct, Ellicott City, MD 21042 2011-07-08
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Competitor

Search similar providers

City SILVER SPRING
Zip Code 20906

Improve Information

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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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