CORE HEALTH AND WELLNESS (NPI# 1467774547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467774547 |
| Entity Type | Organization |
| Organization Name | CORE HEALTH AND WELLNESS |
| Practice Address |
2750 14th St Nw Ste. A Washington DC 20009-6909 |
| Practice Telephone | 2022343450 |
| Practice Fax Number | 2022343455 |
| Mailing Telephone | 2022343450 |
| Mailing Fax Number | 2022343455 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |
| Authorized Official Name | GLORIA WILDER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2022343450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORE HEALTH AND WELLNESS | 9380 Sw Meadow Ln, Portland, OR 97225 |
| Street Address |
2750 14TH ST NW STE. A |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20009-6909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803789 | Michelle Latortue | Dentist | 2750 14th St Nw, Washington, DC 20009-6909 | 2017-07-11 |
| 1710407838 | Subea Hijazi | Dentist | 2750 14th St Nw, Washington, DC 20009-6909 | 2017-06-20 |
| 1134590748 | Melissa Beth Rudawski | Physician Assistant | 2750 14th St Nw, Washington, DC 20009-6909 | 2015-10-08 |
| 1508105669 | Leah Christine Petersen | Speech-Language Pathologist | 2750 14th St Nw, Washington, DC 20009-6909 | 2013-02-11 |
| 1275812729 | A Great Smile Dental Care Pllc | Dentist | 2750 14th St Nw, C-11, Washington, DC 20009-6909 | 2011-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724515 | Ana Serra | Social Worker | Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 | 2020-06-10 |
| 1124596317 | Javan Anti Aging and Wellness Institute | Clinic/Center | 1626 U St Nw, Washington, DC 20009 | 2018-11-06 |
| 1477052272 | Shaw Family Dentistry Pllc | Dentist | 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 | 2018-02-07 |
| 1942728597 | Emily Schwaber | Speech-Language Pathologist | 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 | 2017-09-05 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1700313707 | Salome Fomukong | Home Health Aide | 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 | 2017-05-22 |
| 1912432436 | Mcclain Eyewear | Eyewear Supplier (Equipment, not the service) | 1514 U Street Nw, Washington, DC 20009 | 2017-04-21 |
| 1487195624 | Jasmine Thomas | Home Health Aide | 1440 W St Nw #b1, Washington, DC 20009 | 2017-03-20 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1134672520 | Margaret Ache Tata Tanwani | Home Health Aide | 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 | 2016-08-02 |
| Find all providers in zip 20009 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1598007494 | Araceli T Lagoc | Pediatrics | 3400 Alabama Ave Se, Washington, DC 20020-1242 | 2013-03-19 |
| 1013176924 | Lekeisha Terrell | Pediatrics | 3401 4th St Se Ste 114, Ballou Student Health Center, Unity Health Care, Washington, DC 20032-5406 | 2008-06-05 |
| 1184744526 | Marilyn D Mcpherson Corder | Pediatrics | 5425 14th St Nw, Washington, DC 20011-3613 | 2007-03-30 |
| 1063530335 | Isabel Goldenberg | Pediatrics | 800 21st Street, Nw, Ground Floor, Washington, DC 20052 | 2007-03-26 |
| 1740570365 | Katherine Rose Macdonald | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2011-04-15 |
| 1043517154 | Childrens Medical Care Center | Pediatrics | 5425 14th St Nw, Washington, DC 20011-3613 | 2011-02-25 |
| 1043403108 | Lisa Tuchman | Pediatrics | 111 Michigan Ave Nw, 6th Floor Main, Cri/cts, Washington, DC 20010-2916 | 2007-08-22 |
| 1992997449 | The Pediatric Village | Pediatrics | 4910 Massachusetts Ave Nw, Suite 217, Washington, DC 20016-4300 | 2007-08-17 |
| 1770629321 | Amy Klamberg | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2007-01-30 |
| 1215073325 | Krishna Kumari Upadhya | Pediatrics | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2007-01-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20009 |
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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.