HARRY TEITELBAUM (NPI# 1376503706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376503706 |
| Entity Type | Individual |
| Full Name | HARRY TEITELBAUM |
| Credential | PA-C |
| Practice Address |
1140 Varnum St Ne Dr. Stephen Seabron Washington DC 20017-2151 |
| Mailing Address |
7219 Maple Ave Takoma Park MD 20912-4344 |
| Practice Telephone | 2025268898 |
| Mailing Telephone | 3019804361 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2010-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA30039 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1140 VARNUM ST NE DR. STEPHEN SEABRON |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725184 | Gail S Kerr | Internal Medicine | 1140 Varnum St Ne, Suite #201, Washington, DC 20017-2151 | 2005-07-31 |
| 1144641713 | Capital Consulting Services, LLC | Internal Medicine | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2013-12-26 |
| 1457693012 | Phs Medical Specialists Pmb107 | General Acute Care Hospital | 1140 Varnum St Ne, Pmb107, Washington, DC 20017-2151 | 2013-03-21 |
| 1710240114 | Dal Yoo Md LLC | Internal Medicine | 1140 Varnum St Ne, Suite 102, Washington, DC 20017-2151 | 2012-06-20 |
| 1366710766 | Providence Health Services, Inc | General Acute Care Hospital | 1140 Varnum St Ne, Pmb 200, Washington, DC 20017-2151 | 2011-12-13 |
| 1750659272 | Phs Family Medicine & Pediatrics Pmb103 | Pediatrics | 1140 Varnum St Ne, Pmb103, Washington, DC 20017-2151 | 2011-12-12 |
| 1326316936 | Phs Internal Medicine Pmb202 | General Acute Care Hospital | 1140 Varnum St Ne, Pmb 202, Washington, DC 20017-2151 | 2011-12-09 |
| 1457666000 | Nana Yaw Asamoah-mensah, M.d.,p.c. | Psychiatry & Neurology | 1140 Varnum St Ne, Suite 205, Washington, DC 20017-2153 | 2010-08-06 |
| 1730492422 | Andre S Michalak Md PC | Clinic/Center | 1140 Varnum St Ne, Suite 208b, Washington, DC 20017-2151 | 2010-07-22 |
| 1922335561 | Bustos & Associates, LLC | Preferred Provider Organization | 1140 Varnum St Ne, Pmb 105, Washington, DC 20017-2151 | 2009-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065619 | Lukas James Williams | Physician Assistant | 110 Irving St Nw Ste 3b-55, Washington, DC 20010-3017 | 2020-02-13 |
| 1841784691 | Amanda-gay A Edwards | Physician Assistant | 3 Washington Cir Nw Ste 305, Washington, DC 20037-2311 | 2018-06-15 |
| 1588177752 | Shelly Powers | Physician Assistant | 6th and Bryant St Nw Annex 1 #116, Washington, DC 20059-0001 | 2017-11-10 |
| 1154832046 | Sarah Elizabeth Walters-slezak | Physician Assistant | 470 Johnson Rd Ste 160, Washington, PA 15301-8968 | 2017-10-18 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1639540529 | Jennifer Quyen Tran | Physician Assistant | 332 18th Pl Ne Apt 4, Washington, DC 20002-6650 | 2015-10-17 |
| 1487023511 | Christina Russo | Physician Assistant | 2021 K St Nw Ste 512, Washington, DC 20006-1003 | 2015-09-18 |
| 1194148031 | Luminita Ellis | Physician Assistant | 3700 N Capitol St Nw # 252, Washington, DC 20011-8400 | 2014-01-29 |
| 1518235167 | Anoa Gibson-hunter | Physician Assistant | 4221 Argyle Ter Nw, Washington, DC 20011-4241 | 2011-12-11 |
| 1295014330 | Annise Claude | Physician Assistant | 2021 K St Nw Ste 210, Washington, DC 20006-1003 | 2011-08-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
Please comment or provide details below to improve the information on HARRY TEITELBAUM.
| 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.