COMPLEXIONS MEDICAL AESTHETICS (NPI# 1548760770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548760770 |
| Entity Type | Organization |
| Organization Name | COMPLEXIONS MEDICAL AESTHETICS |
| Practice Address |
4905 Del Ray Ave Ste 301 Bethesda MD 20814-2558 |
| Mailing Address |
8120 Fenton St Ste 202l Silver Spring MD 20910-4753 |
| Practice Telephone | 2407456585 |
| Practice Fax Number | 2407456585 |
| Mailing Telephone | 2026814649 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | STEPHANIE KNOX (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2407456585 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4905 DEL RAY AVE STE 301 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346791050 | Lisa Labianca | Psychologist | 4905 Del Ray Ave Ste 301, Bethesda, MD 20814-2558 | 2016-10-18 |
| 1790321396 | Janine Helen Joly-demars | Marriage & Family Therapist | 4905 Del Ray Ave Ste 301, Bethesda, MD 20814-2558 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 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 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396059879 | Ishtiaq A Malik, Md PC | Clinic/Center | 8880 Bradley Blvd, Bethesda, MD 20817-2607 | 2010-07-27 |
| 1639796428 | Scholar Medical Group Md LLC | Clinic/Center | 3 Bethesda Metro Ctr Ste 700, Bethesda, MD 20814-6300 | 2020-06-29 |
| 1003335621 | Premise Health of Maryland Medical P C | Clinic/Center | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2017-09-14 |
| 1780956532 | Mobile Medical Care Inc | Clinic/Center | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2012-02-08 |
| 1356659122 | Erik S. Kass, M.d., Professional Corporation | Clinic/Center | 7986 Old Georgetown Rd, Suite B, Bethesda, MD 20814-2458 | 2010-09-15 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1104006816 | Lerner Vision Care, LLC | Clinic/Center | 7101 Wisconsin Ave Ste 112, Bethesda, MD 20814-4805 | 2007-11-09 |
| 1548460710 | Chiroaid, LLC | Clinic/Center | 4641 Montgomery Ave, Suite 410, Bethesda, MD 20814-3488 | 2007-07-24 |
| 1356464234 | Shahnaz Motamedi | Clinic/Center | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2007-04-07 |
| 1437204773 | Samueli Institute | Clinic/Center | 4301 Jones Bridge Rd, Family Practice Clinic, Bethesda, MD 20814-4712 | 2007-01-25 |
| Find all providers in BETHESDA | ||||
Please comment or provide details below to improve the information on COMPLEXIONS MEDICAL AESTHETICS.
| 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.