GOMEZ YIM & RASTOGI, M.D., P.A. (NPI# 1407980717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407980717 |
| Entity Type | Organization |
| Organization Name | GOMEZ YIM & RASTOGI, M.D., P.A. |
| Other Organization Name | BEL AIR PEDIATRIC CENTER HAVRE DE GRACE PEDIATRIC CENTER |
| Practice Address |
602 S. Atwood Road Suite 104 Bel Air MD 21014 |
| Practice Telephone | 4108389555 |
| Practice Fax Number | 4108365056 |
| Mailing Telephone | 4108389555 |
| Mailing Fax Number | 4108365056 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | ROBERT PHILLIP YIM I (OWNER) |
| Authorized Official Telephone | 4108389555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 226381500 | 05 |
| Other Name | Type Code |
|---|---|
| Bel Air Pediatric Center Havre de Grace Pediatric Center | Doing Business As Name - Organization |
| Street Address |
602 S. ATWOOD ROAD SUITE 104 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407110364 | Tanisha Powell | Pediatrics | 4c North Ave Ste 400, Bel Air, MD 21014 | 2012-06-26 |
| 1508020348 | Taryn Winkle | Pediatrics | 615 W Mac Phail Rd St, Suite 107, Bel Air, MD 21014 | 2008-07-10 |
| 1992964555 | David F Sulkowski | Pediatrics | 2111 Laurel Bush Road, Suite H, Bel Air, MD 21015 | 2008-06-08 |
| 1912120916 | Bright Oaks Pediatric Center, LLC | Pediatrics | 2111 Laurel Bush Rd Ste H, Bel Air, MD 21015-6156 | 2007-04-10 |
| 1609849769 | Beverly Ann Tyler | Pediatrics | 104 Plumtree Road, Suite 115, Bel Air, MD 21015-5901 | 2006-02-09 |
| 1891179404 | Vibha Chikkatur Murthy | Pediatrics | 604 Hoagie Dr, Bel Air, MD 21014-1884 | 2015-07-13 |
| 1437538808 | Amanda Nicole Malinou | Pediatrics | 4c North Ave Ste 400, Bel Air, MD 21014 | 2015-05-19 |
| 1689091597 | Christine Yang | Pediatrics | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2014-03-28 |
| 1851634380 | Brenda M Prindle | Pediatrics | 500 Upper Chesapeake Dr, Pediatric Hospitalist Dept, Bel Air, MD 21014-4324 | 2013-04-03 |
| 1629311360 | Megan Griffiths | Pediatrics | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2013-04-01 |
| Find all providers in BEL AIR | ||||
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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.