WALDORF INTEGRATED HEALTHCARE, LLC (NPI# 1609844018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609844018 |
| Entity Type | Organization |
| Organization Name | WALDORF INTEGRATED HEALTHCARE, LLC |
| Other Organization Name | NEW MARKET FAMILY PRACTICE |
| Practice Address |
29015 Three Notch Rd Suite 1-a Mechanicsville MD 20659-3228 |
| Mailing Address |
Po Box 1565 Waldorf MD 20604-1565 |
| Practice Telephone | 3012905285 |
| Practice Fax Number | 3012905287 |
| Mailing Telephone | 3016459551 |
| Mailing Fax Number | 3016450039 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | JOAN BARKER (OFFICE MANAGER) |
| Authorized Official Telephone | 3016459551 |
| Authorized Official Credential | CMM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| New Market Family Practice | Doing Business As Name - Organization |
| Street Address |
29015 THREE NOTCH RD SUITE 1-A |
| City | MECHANICSVILLE |
| State | MD |
| Zip Code | 20659-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609207828 | Charlotte Hall Optometry, LLC | Optometrist | 29015 Three Notch Rd, Unit 6, Mechanicsville, MD 20659-3228 | 2013-12-13 |
| 1780852129 | Cook & Siu PC | Internal Medicine | 29015 Three Notch Rd, Suite 1-a, Mechanicsville, MD 20659-3228 | 2008-02-20 |
| 1629143946 | Victor Gabriel Guevara | Optometrist | 29015 Three Notch Rd, Mechanicsville, MD 20659-3228 | 2006-11-21 |
| 1215032461 | Laice Lanette Jeffries | Optometrist | 29015 Three Notch Rd, Mechanicsville, MD 20659-3228 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841695111 | Amanda Gick | Specialist/Technologist | 26926 Tin Top School Rd, Mechanicsville, MD 20659 | 2014-10-29 |
| 1518279322 | Alan J Gill | Dentist | 28160 Old Village Road, Mechanicsville, MD 20659 | 2010-07-09 |
| 1760669881 | Gina Mccray Dds Pa | Dentist | 28160 Old Village Rd., Mechanicsville, MD 20659 | 2008-01-31 |
| 1861690497 | Shah Associates Md LLC | Family Medicine | 281 Three Notch Rd Ste 101, Mechanicsville Medical Center, Mechanicsville, MD 20659 | 2007-07-05 |
| 1528153111 | Mechanicsville Ambulatory Surgery Center, LLC | Clinic/Center | 28227 Three Notch Road, Mechanicsville, MD 20659 | 2006-10-03 |
| 1912980350 | Vickie Elsesser-vu | Social Worker | 27108 Mt Zion Church Rd, Mechanicsville, MD 20659 | 2005-11-21 |
| 1043779085 | St. Mary's Center for Dental Sleep Medicine LLC | Dentist | 28160 Old Village Road, Mechanicsville, MD 20659 | 2019-03-19 |
| 1154542264 | Barbara B Nunes | Social Worker | 6100 Radio Station Road, Laplata, MD 20659 | 2007-05-02 |
| 1245673920 | Elizabeth A Pugh | Occupational Therapist | 25941 Chaffee Ct, Mechanicsville, MD 20659-2717 | 2013-04-11 |
| 1720601842 | Amy Paulk | Registered Nurse | 26471 N Sandgates Rd, Mechanicsville, MD 20659-2748 | 2020-05-22 |
| Find all providers in zip 20659 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861690497 | Shah Associates Md LLC | Family Medicine | 281 Three Notch Rd Ste 101, Mechanicsville Medical Center, Mechanicsville, MD 20659 | 2007-07-05 |
| 1831285295 | Hanover Family Physicians P.C. | Family Medicine | 9376 Atlee Station Road, Mechanicsville, VA 23116 | 2006-10-05 |
| 1558374736 | Kimberly Buresh Walker | Family Medicine | 7493 Right Flank Rd Ste 400, Ashcake Family Physicians, Mechanicsville, VA 23116-3846 | 2006-08-15 |
| 1205854684 | Karen Bauer | Family Medicine | 28170 Old Village Rd, Mechanicsville, MD 20659-4289 | 2006-07-17 |
| 1740235266 | Andrew Basler Dahlgren | Family Medicine | 8200 Meadowbridge Rd, Suite 200, Mechanicsville, VA 23116-2331 | 2006-05-23 |
| 1811953565 | Pamela Case Wratchford | Family Medicine | 7493 Right Flank Rd, Suite 400, Mechanicsville, VA 23116 | 2006-04-21 |
| 1255306460 | Gregory T. Stephens | Family Medicine | 9376 Atlee Station Rd, Mechanicsville, VA 23116-2602 | 2006-02-21 |
| 1568435048 | Kenneth M Heatwole | Family Medicine | 7571 Cold Harbor Rd, Mechanicsville, VA 23111-1631 | 2006-02-07 |
| 1417947276 | Sandra Maurita Smith | Family Medicine | 7238 Mechanicsville Tpke, Mechanicsville, VA 23111-3502 | 2005-10-24 |
| 1205456209 | Ashley Morris | Family Medicine | 7571 Cold Harbor Rd, Mechanicsville, VA 23111-1631 | 2020-04-20 |
| Find all providers in MECHANICSVILLE | ||||
| City | MECHANICSVILLE |
| Zip Code | 20659 |
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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.