THE CENTER FOR INNOVATIVE GYN CENTER, PC


Address: 8218 Wisconsin Ave, Suite 414, Bethesda, MD 20814-3107
Phone: 3016524800

THE CENTER FOR INNOVATIVE GYN CENTER, PC (NPI# 1437476777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437476777
Entity Type Organization
Organization Name THE CENTER FOR INNOVATIVE GYN CENTER, PC
Practice Address 8218 Wisconsin Ave
Suite 414
Bethesda
MD 20814-3107
Practice Telephone 3016524800
Practice Fax Number 3016646475
Mailing Telephone 3016524800
Mailing Fax Number 3016646475
Enumeration Date 2010-04-27
Last Update Date 2015-07-31
Authorized Official Name PAUL J MACKOUL (OWNER)
Authorized Official Telephone 4109904480
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Office Location

Street Address 8218 WISCONSIN AVE
SUITE 414
City BETHESDA
State MD
Zip Code 20814-3107

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NPI Name Taxonomy Address Enumeration
1386642858 George Allen Patterson IIi Ophthalmology 8218 Wisconsin Ave, Suite 316, Bethesda, MD 20814-3107 2005-07-08
1467999011 Natalie Anne Hein Audiologist-Hearing Aid Fitter 8218 Wisconsin Ave, 106, Bethesda, MD 20814-3107 2017-01-20
1275920621 Susan J Miller Md LLC Internal Medicine 8218 Wisconsin Ave, Suite 305, Bethesda, MD 20814-3107 2015-04-23
1861832875 Total Podiatry LLC Podiatrist 8218 Wisconsin Ave, Suite305, Bethesda, MD 20814-3107 2013-07-05
1497016703 Gregory E Constable Pharmacist 8218 Wisconsin Ave, Bethesda, MD 20814-3107 2012-06-04
1245597160 Sophia Siddiqui Internal Medicine 8218 Wisconsin Ave, 305, Bethesda, MD 20814-3107 2012-04-17
1851665905 Bethesda Audiology Center Audiologist 8218 Wisconsin Ave, Suite 106, Bethesda, MD 20814-3107 2012-03-06
1477831980 Encompass Meds, LLC Social Worker 8218 Wisconsin Ave, Suite-305, Bethesda, MD 20814-3107 2011-08-01
1821388380 Harlivleen Gill Dietitian, Registered 8218 Wisconsin Ave, Suite-305, Bethesda, MD 20814-3107 2011-04-18
1265731541 Pinky Singh Md Internal Medicine 8218 Wisconsin Ave, Suite 305, Bethesda, MD 20814-3107 2011-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598365082 Chibuzor Susan Igolo Nurse Practitioner 4494 N Palmer Rd N, Bethesda, MD 20814 2020-10-26
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1568002814 Paige Lewis Counselor 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 2020-01-14
1023657400 Brightview Bethesda Grosvenor, LLC Alzheimer Center (Dementia Center) 5510 Grosvenor Lane, Bethesda, MD 20814 2020-01-02
1972144939 Uzma Knouss Marriage & Family Therapist 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 2019-10-01
1962057620 Catherine Jeffries Speech-Language Pathologist 7921 Lynnbrook Drive, Bethesda, MD 20814 2019-08-08
1992368963 Sheryl Lynne Winans Occupational Therapist 8001 Lynbrook Drive, Bethesda, MD 20814 2019-04-16
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083008973 Rachael Fuller Cleberg Obstetrics & Gynecology 10215 Fernwood Rd Ste 250, Bethesda, MD 20817-1177 2015-03-27
1477819175 Anna Buabbud Obstetrics & Gynecology 4920 Elm St # 225, Medical Faculty Associates Inc, Bethesda, MD 20814-2924 2012-04-06
1265702179 Dara Shahriar Afshar Obstetrics & Gynecology 7115 Arrowood Rd, Bethesda, MD 20817-2808 2012-01-09
1912232372 Howard Raymond Underwood Obstetrics & Gynecology 4502 Highland Ave, Bethesda, MD 20814-4608 2009-10-02
1184866980 Jacqueline Miller Braden Obstetrics & Gynecology 8930 Brown Dr Bldg 92nd, Bethesda, MD 20889-5629 2009-03-25
1780824599 Joshua Charles Combs Obstetrics & Gynecology 4494 North Palmer Road, Bethesda, MD 20889-0001 2009-03-06
1821250903 Amanda Elizabeth Owens Obstetrics & Gynecology 8930 Brown Dr., Dept Obgyn, Bldg 9, Bethesda, MD 20889 2008-06-30
1316099823 Melissa A. Merideth Obstetrics & Gynecology Nih, 10 Center Drive, Bdg 10, 10c103, Msc 1851, Bethesda, MD 20892-0001 2007-01-17
1851440721 Pamela Stratton Obstetrics & Gynecology 1e-3140 Crc, 10 Center Dr. Msc 1109, Bethesda, MD 20892-0001 2007-01-09
1639250004 Michael Wittenberger Obstetrics & Gynecology 10 Center Dr Msc 1109, Building 10, Crc, 1 East, Rm. 1-3140, Bethesda, MD 20892-0001 2006-10-18
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City BETHESDA
Zip Code 20814

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Dataset Information

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.

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