PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT (NPI# 1366711947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366711947 |
| Entity Type | Organization |
| Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
| Other Organization Name | GENERAL CLINICS |
| Practice Address |
3003 Hospital Drive Prince George's County Health - General Clinics Cheverly MD 20785 |
| Mailing Address |
1701 Mccormick Dr Client Information Services Largo MD 20774-5329 |
| Practice Telephone | 3018837861 |
| Mailing Telephone | 3018837879 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | MS. DARLENE CELESTE WHITAKER (REVENUE MANAGER) |
| Authorized Official Telephone | 3018837861 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 70443 | 05 |
| Other Name | Type Code |
|---|---|
| General Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1265920615 | Prince George's County Health Department | Clinic/Center | 6501 Columbia Park Rd, Hyattsville, MD 20785-3970 | 2018-05-01 |
| 1194213728 | Prince George's County Health Department | Family Medicine | 4200 57th Ave, Bladensburg, MD 20710-1710 | 2018-04-30 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1205262771 | Prince George's County Health Department | Clinic/Center | 3003 Hospital Dr Ste 1055, Cheverly, MD 20785-1194 | 2013-09-17 |
| 1083945125 | Prince George's County Health Department | Community/Behavioral Health | 3003 Hospital Drive - Ground Floor, Cheverly, MD 20785 | 2010-01-28 |
| 1114155694 | Prince George's County Health Department | Dentist | 3003 Hospital Dr Ste 1048, Cheverly, MD 20785-1194 | 2009-06-23 |
| 1447456751 | Prince George's County Health Department | Public Health or Welfare | 6701 Leyte Dr, Oxon Hill, MD 20745-2110 | 2007-06-23 |
| 1548487820 | Prince George's County Health Department | Public Health or Welfare | 1801 Mccormick Dr Fl 2, Largo, MD 20774-5326 | 2007-04-19 |
| 1871632539 | Prince George's County Health Department | Public Health or Welfare | 9314 Piscataway Road, Clinton, MD 20735-3630 | 2007-02-06 |
| Street Address |
3003 HOSPITAL DRIVE PRINCE GEORGE'S COUNTY HEALTH - GENERAL CLINICS |
| City | CHEVERLY |
| State | MD |
| Zip Code | 20785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588783047 | Nigel Eric Jackman | Internal Medicine | 3003 Hospital Drive, Suite #1055, Cheverly, MD 20785-1196 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908067 | Alaina Paulette Ford-reese | Counselor | 95 Office Park 1895 Brightseat, Landover, MD 20785 | 2020-07-02 |
| 1578186912 | Afshan Rehman | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Family Health and Wellness Center, Cheverly, MD 20785 | 2020-05-20 |
| 1235751710 | Anila Rani | Student in an Organized Health Care Education/Training Program | 3001 Hospital Dr, 5th Floor, University of Maryland Prince George Hospital Center De, Cheverly, MD 20785 | 2020-05-07 |
| 1568083715 | Sonia Haider | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane 3rd Floor, Cheverly, MD 20785 | 2020-04-29 |
| 1851938138 | The Foundation Schools, Inc. | Local Education Agency (LEA) | 855 Brightseat Road, Suite 855, Landover, MD 20785 | 2019-12-05 |
| 1104480268 | Sohaib Siddiqui | Student in an Organized Health Care Education/Training Program | 2900 Mercy Lane, 3rd Floor, Cheverly, MD 20785 | 2019-04-24 |
| 1386115558 | Tameka Drummond | Speech-Language Pathologist | 1401 Nalley Terrace, Hyattsville, MD 20785 | 2018-12-16 |
| 1427528223 | Tambra M Johnson | Occupational Therapist | [email protected], 2300 Belleview Ave, Cheverly, Md 20785, Cheverly, MD 20785 | 2018-12-05 |
| 1417427097 | Bukola B Muritala | Home Health Aide | 6313 Landover Rd Apt 301, Cheverly, MD 20785 | 2018-11-27 |
| 1073091104 | Ursula Cerro | Counselor | 903 Brightseat Road, Landover, MD 20785 | 2018-07-31 |
| Find all providers in zip 20785 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003316407 | P&a Health Assessment and Management LLC | Public Health or Welfare | 6492 Landover Rd Ste D, Cheverly, MD 20785-1434 | 2018-02-13 |
| 1508194416 | Nutrition and Your Temple, LLC | Public Health or Welfare | 2814 Woodway Pl, Cheverly, MD 20785-3170 | 2009-12-04 |
| 1588039333 | Prince Georges County Health Department | Public Health or Welfare | 3003 Hospital Dr, Ground Floor, Cheverly, MD 20785-1194 | 2015-12-04 |
| 1699038281 | Prince George's County Health Department | Public Health or Welfare | 3003 Hospital Dr, Cheverly, MD 20785-1194 | 2012-06-19 |
| 1578821153 | Prince George's County Health Department | Public Health or Welfare | 3003 Hospital Drive - Ground Floor, Cheverly, MD 20785 | 2012-05-02 |
| 1376861377 | Prince George's County Health Department | Public Health or Welfare | 3003 Hospital Dr, Cheverly, MD 20785-1194 | 2010-05-14 |
| 1467586933 | Prince Geroge's County Health Department | Public Health or Welfare | 3003 Hospital Dr, Cheverly, MD 20785-1194 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1720561376 | Dorchester County Behavioral Health - Mh | Public Health or Welfare | 524 Race St Apt 1, Cambridge, MD 21613-2398 | 2018-09-10 |
| 1467999334 | Baltimore City Health Department | Public Health or Welfare | 1515 W North Ave Fl 2, Baltimore, MD 21217-1735 | 2017-01-30 |
| 1104378272 | Feed Your Soul Nutrition and Health | Public Health or Welfare | 3 S Carolina Ave, Pasadena, MD 21122-5437 | 2016-10-25 |
| 1730531799 | Tierra Pace | Public Health or Welfare | 3306 Stone Gate Blvd, Elkton, MD 21921-4152 | 2016-07-01 |
| 1942662846 | Bay Area Center for Independent Living, Inc. | Public Health or Welfare | 909 Progress Cir, Salisbury, MD 21804-2323 | 2016-03-22 |
| 1285094391 | House of Change, LLC | Public Health or Welfare | 11 Aynesley Ct, Owings Mills, MD 21117-6143 | 2016-03-02 |
| 1194193904 | B.v.p. Inc Dba Apps | Public Health or Welfare | 13 Wyndam Ct, Lutherville, MD 21093-3715 | 2015-09-10 |
| 1356718886 | Baltimore County Maryland | Public Health or Welfare | 124 Tollgate Rd, Owings Mills, MD 21117-3350 | 2015-09-01 |
| 1518334978 | Baltimore County Maryland | Public Health or Welfare | 2600 Putty Hill Ave, Baltimore, MD 21234-4309 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
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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.