SOUTH POTOMAC BONE ASSESSMENT CENTER (NPI# 1518983139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518983139 |
| Entity Type | Organization |
| Organization Name | SOUTH POTOMAC BONE ASSESSMENT CENTER |
| Practice Address |
1328 Southern Ave Se Suite 210 Washington DC 20032-4689 |
| Practice Telephone | 2025740540 |
| Practice Fax Number | 2025626140 |
| Mailing Telephone | 2025740540 |
| Mailing Fax Number | 2025626140 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDGER VERDAN POTTER (PRESIDENT) |
| Authorized Official Telephone | 2025740540 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1328 SOUTHERN AVE SE SUITE 210 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519823 | Mina M Yacoub | Internal Medicine | 1328 Southern Ave Se, Ste 312, Washington, DC 20020 | 2005-06-27 |
| 1528408804 | Namrita Kaur Sodhi | Family Medicine | 1328 Southern Ave Se, Suite 302, Washington, DC 20032-4689 | 2013-07-01 |
| 1083952501 | Wilhelm Bonnette | Counselor | 1328 Southern Ave Se, Sutie 301, Washington, DC 20032-4689 | 2013-01-17 |
| 1336485366 | Life Enhancement Services of Va, LLC | Community/Behavioral Health | 1328 Southern Ave Se, Suite 301, Washington, DC 20032-4689 | 2012-12-19 |
| 1043555071 | United Hospitalists Medical Service, Pllc | Internal Medicine | 1328 Southern Ave Se, Ste 205, Washington, DC 20032-4689 | 2012-12-03 |
| 1659645224 | Evelyn Gyirepaa Dakwa | Nurse Practitioner | 1328 Southern Ave Se, Suite 309, Washington, DC 20032-4689 | 2012-02-29 |
| 1508156472 | Angie Bryant | Social Worker | 1328 Southern Ave Se, Washington, DC 20032-4689 | 2011-04-13 |
| 1689979437 | Cyril A Allen Md LLC | Internal Medicine | 1328 Southern Ave Se, 202, Washington, DC 20032-4689 | 2011-01-25 |
| 1801199427 | Bahram Pishdad Md, P.C. | General Practice | 1328 Southern Ave Se, Suite 310, Washington, DC 20032-4689 | 2010-12-21 |
| 1083932438 | Footprint Podiatry Consultants, LLC | Clinic/Center | 1328 Southern Ave Se, Suite 209, Washington, DC 20032-4689 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313595 | Providence Health Services, Inc | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-09-03 |
| 1730690801 | Providence Health Services, Inc | Clinic/Center | 765 Kenilworth Ter Ne, Washington, DC 20019-1898 | 2017-10-17 |
| 1851476717 | Upmc and The Washington Hospital Cancer Center | Clinic/Center | 155 Wilson Ave, Washington, PA 15301-3336 | 2006-10-26 |
| 1942392667 | Metropolitan Radiology Associates Chartered | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017 | 2006-09-29 |
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on SOUTH POTOMAC BONE ASSESSMENT CENTER.
| 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.