OLDE TOWNE PRIMARY CARE LLC (NPI# 1417315813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417315813 |
| Entity Type | Organization |
| Organization Name | OLDE TOWNE PRIMARY CARE LLC |
| Practice Address |
317 E Diamond Ave C1 Gaithersburg MD 20877-3093 |
| Practice Telephone | 2402461111 |
| Mailing Telephone | 2402461111 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | RASHA BAFI SALEEM (MANAGING OWNER) |
| Authorized Official Telephone | 2023164407 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
317 E DIAMOND AVE C1 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023224631 | Alcides Hector Carrillo | Chiropractor | 317 E Diamond Ave, 202, Gaithersburg, MD 20877-3093 | 2007-05-14 |
| 1871728030 | Mrb Counseling Services, Inc. | Counselor | 317 E Diamond Ave, Suite C, Gaithersburg, MD 20877-3093 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093197287 | Mobile Medical Care, Inc. | Clinic/Center | 202 S Summit Ave, Gaithersburg, MD 20877-2316 | 2015-06-24 |
| 1720429194 | Montgomery County Maryland Government | Clinic/Center | 314 S Frederick Ave, Gaithersburg, MD 20877-2307 | 2013-07-12 |
| 1699116061 | Montgomery County Maryland Government | Clinic/Center | 10301 Apple Ridge Rd, Gaithersburg, MD 20886-1013 | 2013-07-12 |
| 1174793657 | Montgomery County Maryland Government | Clinic/Center | 101 W Deer Park Rd, Gaithersburg, MD 20877-1850 | 2008-03-11 |
| 1053431106 | Montgomery County Maryland Government | Clinic/Center | 35 N Summit Ave, Gaithersburg, MD 20877-2921 | 2007-03-30 |
| 1699280628 | Holy Cross Health Partners, LLC | Clinic/Center | 201 Russell Ave, Gaithersburg, MD 20877-2800 | 2017-12-13 |
| 1104347095 | Care Now Clinic LLC | Clinic/Center | 9318 Gaither Rd Ste 245, Gaithersburg, MD 20877-1407 | 2017-06-29 |
| 1881139954 | Comprehensive Medical Care & Walk In Clinic, LLC | Clinic/Center | 610 Professional Dr, Suite # 235, Gaithersburg, MD 20879-3413 | 2016-12-28 |
| 1699190850 | Doctors First | Clinic/Center | 806 W Diamond Ave, Suite 110, Gaithersburg, MD 20878-1415 | 2014-02-25 |
| 1487939955 | Casey Health Institut | Clinic/Center | 800 S Frederick Ave, Gaithersburg, MD 20877-4150 | 2011-10-17 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
Please comment or provide details below to improve the information on OLDE TOWNE PRIMARY CARE LLC.
| 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.