MEDSTAR MEDICAL GROUP II LLC (NPI# 1538704416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538704416 |
| Entity Type | Organization |
| Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Practice Address |
3800 Reservoir Rd Nw 1 Bles Washington DC 20007-2113 |
| Mailing Address |
2000 15th St N Ste 600 Arlington VA 22201-2900 |
| Practice Telephone | 2024440957 |
| Mailing Telephone | 7035581400 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | MS. STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7025581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| MMG PODIATRY AT MGUH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1437765104 | Medstar Medical Group II LLC | Health Educator | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2020-09-18 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1093368409 | Medstar Medical Group II LLC | Psychiatry & Neurology | 5601 Loch Raven Blvd Ste 406, Baltimore, MD 21239-2949 | 2019-07-24 |
| 1215580618 | Medstar Medical Group II LLC | Psychiatry & Neurology | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2019-07-24 |
| 1053874321 | Medstar Medical Group II LLC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-04-12 |
| 1013489368 | Medstar Medical Group II LLC | Psychiatry & Neurology | 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 | 2018-12-27 |
| 1184046187 | Medstar Medical Group II LLC | General Practice | 5601 Loch Raven Blvd, Russell Morgan Bldg 3rd Fl, Baltimore, MD 21239-2945 | 2014-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedStar Medical Group II LLC | 10980 Grantchester Way, Columbia, Maryland 20708 |
| Street Address |
3800 RESERVOIR RD NW 1 BLES |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748802 | John Hugh Lynch | Urology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-05-31 |
| 1346841087 | Shahrzad Chitsaz | Pharmacist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-11-07 |
| 1891392296 | Morgan M Casimir | Occupational Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-10-08 |
| 1922615764 | Kelly Trump | Nurse Practitioner | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-25 |
| 1790392819 | La Sheron A Bankhead | Speech-Language Pathologist | 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 | 2020-09-24 |
| 1689289688 | Laurie L Nguyen | Registered Nurse | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-15 |
| 1598370652 | Yazan Subhi Juma' | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1326653668 | Allison Elizabeth Boyd | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1497370167 | Kirby K Edsill | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861868556 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1720 Eye St Nw, Suite 402, Washington, DC 20006-3704 | 2015-08-17 |
| 1902224959 | Ijeoma Nwuju | Podiatrist | 1160 Varnum St Ne Ste 200, Washington, DC 20017-2106 | 2014-04-06 |
| 1972872414 | Primary Podiatric Medicine Care Center | Podiatrist | 1874 W Chestnut St, Washington, PA 15301-2638 | 2011-12-28 |
| 1609180207 | Lynda Terry-choyke | Podiatrist | 1722 Eye Streets Nw, Department of Veterans Affairs - Appeals Management Cen, Washington, DC 20421 | 2010-08-06 |
| 1336375922 | Lennie Michele Peters | Podiatrist | 1008 Hamlin St Ne, Washington, DC 20017-3422 | 2009-06-09 |
| 1023224540 | Andrew Lewis Carver | Podiatrist | 1040 17th Street Nw, Washington, DC 20036 | 2007-05-14 |
| 1730394958 | Howard David Rome | Podiatrist | 1700 Connecticut Ave, Washington, DC 20009 | 2007-05-11 |
| 1851518393 | Ainsley Roberson Rusevlyan | Podiatrist | 114 Avon Ave, Washington, NC 27889-3841 | 2007-04-19 |
| 1972663888 | Kevin C. Bradshaw | Podiatrist | 519 Peabody St Ne, Washington, DC 20011-1647 | 2006-12-11 |
| 1306916135 | Cynthia Belle Hatfield | Podiatrist | 40 Wilson Ave, Washington, PA 15301 | 2006-11-09 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
Please comment or provide details below to improve the information on MEDSTAR MEDICAL GROUP II LLC.
| 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.