CLINTON FIBROID & VASCULAR LLC (NPI# 1457873325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457873325 |
Entity Type | Organization |
Organization Name | CLINTON FIBROID & VASCULAR LLC |
Practice Address |
9131 Piscataway Rd Ste 240 Clinton MD 20735-2578 |
Practice Telephone | (240) 244-2302 |
Practice Fax Number | 4109754645 |
Mailing Telephone | 2402442302 |
Mailing Fax Number | 4109754645 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |
Authorized Official Name | DR. NORDINE GAUGAU (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2402442302 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
D0063972 | MD | Allopathic & Osteopathic Physicians |
Street Address |
9131 PISCATAWAY RD STE 240 |
City | CLINTON |
State | MD |
Zip Code | 20735-2578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
Find all providers in zip 20735 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609270479 | Lightspeed Radiology LLC | Radiology | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2014-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407465065 | A&e Ir Solutions | Radiology | 9000 Ewing Dr, Bethesda, MD 20817-3358 | 2020-07-29 |
1194374694 | Vascular Institute of Maryland Surgical Center, PC | Radiology | 351 W Camden St Ste 201, Baltimore, MD 21201-7912 | 2019-09-06 |
1386200525 | Centurion Vascular Care LLC | Radiology | 4230 Forbes Blvd Ste E, Lanham, MD 20706-4399 | 2019-05-14 |
1366848632 | Vascular Access Center of Southern Maryland LLC | Radiology | 7651 Matapeake Business Dr, Suite 101, Brandywine, MD 20613-3038 | 2014-11-13 |
1184034563 | Joanne Lam | Radiology | 1800 Orleans St Ste 7203, Baltimore, MD 21287-0010 | 2014-05-06 |
1609138668 | Elie Portnoy | Radiology | 1800 Orleans St # 7203, Baltimore, MD 21287-0010 | 2012-06-14 |
1992039762 | Siobhan L Mcgrane | Radiology | Dept Ir Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0001 | 2009-09-28 |
1184859589 | Akemi Miller | Radiology | 20410 Observation Dr Ste 104, Germantown, MD 20876 | 2009-05-29 |
1629242425 | Nelson R. De Lara | Radiology | 26 Glen Alpine Rd, Phoenix, MD 21131-2404 | 2008-04-14 |
1356541494 | Lauren Marie Kim | Radiology | Bg 10 Rm 1c344/ 10 Center Dr, Bethesda, MD 20814 | 2007-07-18 |
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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.