MED-PED HEALTH CARE LLC (NPI# 1336296730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336296730 |
| Entity Type | Organization |
| Organization Name | MED-PED HEALTH CARE LLC |
| Practice Address |
6201 Greenbelt Rd Suite M16 Berwyn Heights MD 20740-2354 |
| Mailing Address |
6201 Greenbelt Rd Suite M-16 Berwyn Heights MD 20740-2354 |
| Practice Telephone | 3014414400 |
| Practice Fax Number | 3014413008 |
| Mailing Telephone | 3014414400 |
| Mailing Fax Number | 3014413008 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | DR. JAMAL FADUL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3014414400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 0062057 | 05 |
| Street Address |
6201 GREENBELT RD SUITE M16 |
| City | BERWYN HEIGHTS |
| State | MD |
| Zip Code | 20740-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153726 | Dr. Kattie Khadar, PC | Clinic/Center | 6201 Greenbelt Rd, Berwyn Heights, MD 20740-2354 | 2020-07-31 |
| 1164941605 | Mohamead Bakir | Dentist | 6201 Greenbelt Rd, Berwyn Heights, MD 20740-2354 | 2017-09-15 |
| 1437503927 | T & T Healthcare Inc | Community/Behavioral Health | 6201 Greenbelt Rd, M7, Berwyn Heights, MD 20740-2354 | 2016-04-20 |
| 1407213853 | Patrick Cody | Social Worker | 6201 Greenbelt Rd, Suite U-18, Berwyn Heights, MD 20740-2354 | 2016-01-15 |
| 1891164950 | Svetlana Malinsky, Dpm PC | Durable Medical Equipment & Medical Supplies | 6201 Greenbelt Rd, Suite M-8a, Berwyn Heights, MD 20740-2354 | 2015-09-18 |
| 1639576358 | Alpha Point Medical LLC | Internal Medicine | 6201 Greenbelt Rd, Suite M8b, Berwyn Heights, MD 20740-2354 | 2014-11-24 |
| 1033521166 | Jessica Minarovic | Physician Assistant | 6201 Greenbelt Rd, Suite M-16, Berwyn Heights, MD 20740-2354 | 2014-05-23 |
| 1982023586 | Elevation & Enrichment Therapeutic Services | Community/Behavioral Health | 6201 Greenbelt Rd, #u-4, Berwyn Heights, MD 20740-2354 | 2014-04-10 |
| 1972929867 | The Center for Adult and Adolescent Psychotherapy | Community/Behavioral Health | 6201 Greenbelt Rd, Suite U-4, Berwyn Heights, MD 20740-2354 | 2014-03-15 |
| 1639592512 | A & T Family Medical, LLC | Clinic/Center | 6201 Greenbelt Rd, Berwyn Heights, MD 20740-2354 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154478865 | Salvador Sylvester | Family Medicine | 6201 Greenbelt Rd Ste M16, Berwyn Heights, MD 20740-2333 | 2007-01-04 |
| 1124145057 | Express Healthcare LLC | Family Medicine | 6201 Greenbelt Rd, Ste M16, Berwyn Heights, MD 20740-2354 | 2007-03-24 |
| 1790831345 | United Medical Center, LLC | Family Medicine | 6201 Greenbelt Rd, Suite L5, Berwyn Heights, MD 20740-2354 | 2007-01-26 |
| 1427080589 | Jamal Fadul | Family Medicine | 6201 Greenbelt Rd, Suite M-16, Berwyn Heights, MD 20740-2354 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | BERWYN HEIGHTS |
| Zip Code | 20740 |
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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.