DR. LENORE MARIE TIETJENS-GRILLO (NPI# 1376609248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376609248 |
| Entity Type | Individual |
| Full Name | DR. LENORE MARIE TIETJENS-GRILLO |
| Credential | M.D. |
| Practice Address |
9001 Edmonston Rd Ste 40 Greenbelt MD 20770-1004 |
| Mailing Address |
110 Misty Ln Elkton MD 21921-2314 |
| Practice Telephone | 2407903325 |
| Practice Fax Number | 3013451865 |
| Mailing Telephone | 4435530631 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
C1-0004254 | DE | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
D0046167 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 162081900 | 05 |
| Street Address |
9001 EDMONSTON RD STE 40 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396805057 | Linda June | Nurse Practitioner | 9001 Edmonston Rd Ste 40, Greenbelt, MD 20770-1004 | 2006-12-11 |
| 1366813206 | Kendra Mcmillan | Registered Nurse | 9001 Edmonston Rd Ste 40, Greenbelt, MD 20770-1004 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790939528 | Rupen P Baxi | Obstetrics & Gynecology | 7500 Greenway Center Dr Ste 1120, Greenbelt, MD 20770-3563 | 2008-11-06 |
| 1134144082 | Siamack Bahrami | Obstetrics & Gynecology | 8957-k Edmonston Rd, Suite K, Greenbelt, MD 20770 | 2006-07-13 |
| 1528161445 | John Herbert Niles Jr. | Obstetrics & Gynecology | 7500 Greenway Center Dr, Suite 620, Greenbelt, MD 20770-3502 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356981492 | Affiliated Reproductive Health Clinics Inc | Obstetrics & Gynecology | 10401 Old Georgetown Rd Ste 208, Bethesda, MD 20814-1911 | 2020-01-07 |
| 1588161269 | Advanced Menstrual Care Center LLC | Obstetrics & Gynecology | 8601 La Salle Rd Ste 104, Towson, MD 21286-2005 | 2018-04-10 |
| 1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
| 1407218480 | Nancy P Youssefi | Obstetrics & Gynecology | 7350 Van Dusen Rd Ste B20, Laurel, MD 20707-5239 | 2016-03-28 |
| 1992174221 | Elite Surgical Services, LLC | Obstetrics & Gynecology | 10518 Tanager Ln, Potomac, MD 20854-6315 | 2015-09-16 |
| 1902298953 | Lisa G Rubin, Md., LLC | Obstetrics & Gynecology | 1122 Kenilworth Dr Ste 401, Towson, MD 21204-2147 | 2015-02-27 |
| 1114269750 | Ann Peters | Obstetrics & Gynecology | 7600 Osler Dr Ste 200, Baltimore, MD 21204 | 2013-03-21 |
| 1598025009 | Kristina Torrence | Obstetrics & Gynecology | 1165 Imperial Dr Ste 300, Hagerstown, MD 21740-6556 | 2012-05-18 |
| 1912298340 | David Mervyn Margulies | Obstetrics & Gynecology | 8231 Bradley Blvd, Bethesda, MD 20817-1911 | 2011-04-19 |
| 1487967188 | Stanley C Marinoff | Obstetrics & Gynecology | 5600 Wisconsin Ave, 601, Chevy Chase, MD 20815-4405 | 2010-07-22 |
| 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.