WASHINGTON MEDICAL CLINIC, LLC (NPI# 1427444108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427444108 |
| Entity Type | Organization |
| Organization Name | WASHINGTON MEDICAL CLINIC, LLC |
| Other Organization Name | WASHINGTON MEDICAL CLINIC, LLC |
| Practice Address |
12510 Prosperity Dr Suite # 320 Silver Spring MD 20904-1663 |
| Mailing Address |
12515 Old Gunpowder Rd Beltsville MD 20705-1151 |
| Practice Telephone | 3017553380 |
| Practice Fax Number | 8665961084 |
| Mailing Telephone | 3019082116 |
| Mailing Fax Number | 8665961084 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MRS. ELIZABETH N. OBI (PRESIDENT /OWNER) |
| Authorized Official Telephone | 3019082116 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R142632 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AMERICAN ACADEMY NURSE PRACTITONERS | F1213055 | 01 |
| Other Name | Type Code |
|---|---|
| Washington Medical Clinic, LLC | Doing Business As Name - Organization |
| Street Address |
12510 PROSPERITY DR SUITE # 320 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487687240 | Annapolis Endocrinology Associates LLC | Internal Medicine | 12510 Prosperity Dr, Suite 260, Silver Spring, MD 20904-1663 | 2006-07-07 |
| 1689074056 | Jonathan Choi | Physical Therapist | 12510 Prosperity Dr, Suite 120, Silver Spring, MD 20904-1663 | 2014-09-03 |
| 1922435528 | Rebecca Aloni | Counselor | 12510 Prosperity Dr, #310, Silver Spring, MD 20904-1663 | 2013-09-27 |
| 1376892018 | Dr. Leonard Goldman, Pa | Clinic/Center | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1663 | 2012-09-07 |
| 1639472343 | Physiotherapy Associates Inc. | Clinic/Center | 12510 Prosperity Dr, Silver Spring, MD 20904-1663 | 2010-12-20 |
| 1447421524 | Cosmopolitan Endocrinology | Internal Medicine | 12510 Prosperity Dr, Suite 140, Silver Spring, MD 20904-1663 | 2008-03-17 |
| 1336263664 | David Evans Liebeskind | Dentist | 12510 Prosperity Dr, Suite 220, Silver Spring, MD 20904-1663 | 2007-03-19 |
| 1407954258 | Neelofar M Alam | Internal Medicine | 12510 Prosperity Dr, Suite 140, Silver Spring, MD 20904-1663 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810043 | Zainab Kalokoh Mansaray | Family Medicine | 10230 New Hampshire Ave Ste 340, Silver Spring, MD 20903-1400 | 2020-01-25 |
| 1457878910 | Adebola B Ibirogba | Family Medicine | 209 Hartwell Road, Silver Spring, MD 20901 | 2017-08-25 |
| 1922425446 | Prem Jayanthan | Family Medicine | 12210 Plum Orchard Dr Ste 212, Silver Spring, MD 20904 | 2014-03-21 |
| 1972891596 | Peter Tanna | Family Medicine | 12708 Serpentine Way, Silver Spring, MD 20904-5331 | 2011-07-17 |
| 1043525199 | Lawton Shaw Cooper | Family Medicine | 609 Kenbrook Dr, Silver Spring, MD 20902-3222 | 2010-08-13 |
| 1245472083 | Katharine Rechen Lillie | Family Medicine | Cder Fda, 10903 New Hampshire Ave, Silver Spring, MD 20993-0001 | 2009-03-25 |
| 1801042833 | Byoung K. Lee, Mdpa | Family Medicine | 13000 Georgia Ave, Silver Spring, MD 20906-5330 | 2008-08-11 |
| 1023274586 | Simona Nicoleta Sirbu | Family Medicine | 1776 Powder Mill Rd, Silver Spring, MD 20903-1514 | 2008-08-04 |
| 1205003340 | Charles Christian Briggs | Family Medicine | 1015 University Blvd East, Spanish Catholic Center Medical Clinic, Silver Spring, MD 20903 | 2008-05-08 |
| 1851561286 | Chioma Ohalete | Family Medicine | 8700 Georgia Ave Ste 400, Silver Spring, MD 20910-3605 | 2008-02-29 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
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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.