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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | CA5483 | 01 | |
BLUECROSS/BLUE SHIELD | B773 | 01 |
Other Name | Type Code |
---|---|
Leisure World Medical Center | Doing Business As Name - Organization |
Street Address |
3305 N LEISURE WORLD BLVD |
City | SILVER SPRING |
State | MD |
Zip Code | 20906-1367 |
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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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 Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
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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City | SILVER SPRING |
Zip Code | 20906 |
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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.