NEUROLOGY OFFICE, PC (NPI# 1619164142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619164142 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY OFFICE, PC |
| Practice Address |
3500 Old Washington Rd Suite 202 Waldorf MD 20602-3224 |
| Practice Telephone | 3018432222 |
| Practice Fax Number | 3019349321 |
| Mailing Telephone | 3018432222 |
| Mailing Fax Number | 3019349321 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | S KIRSHNA NANDIPATI (CEO) |
| Authorized Official Telephone | 3018432222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D38160 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BLUE CROSS | G939 | 01 |
| Street Address |
3500 OLD WASHINGTON RD SUITE 202 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992017 | Nelson Aderemi Alawode | Obstetrics & Gynecology | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602-3224 | 2005-09-14 |
| 1740842475 | Ashley C Siemonh | Registered Nurse | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602 | 2019-07-02 |
| 1760843049 | Min Jeong Jeon | Registered Nurse | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2016-03-14 |
| 1164812145 | Sarah Kimball | Nurse Practitioner | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2015-01-29 |
| 1457797151 | Dental One Associates Waldorf LLC | Dentist | 3500 Old Washington Rd, 301, Waldorf, MD 20602-3224 | 2013-05-21 |
| 1649555491 | Margaret C Summers | Physician Assistant | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2011-10-12 |
| 1386949246 | Cambridge Womens Ambulatory Surgery Center, L.L.C. | Clinic/Center | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602-3224 | 2011-01-24 |
| 1831493022 | Don J. Fontana, M.d. Pa | Plastic Surgery | 3500 Old Washington Rd, Suite 201, Waldorf, MD 20602-3238 | 2011-01-01 |
| 1235431248 | Cambridge Cancer & Infusion Center LLC | Internal Medicine | 3500 Old Washington Rd, Ste 102, Waldorf, MD 20602-3224 | 2010-11-23 |
| 1164677621 | Jay G Browne | Dentist | 3500 Old Washington Rd, #204, Waldorf, MD 20602-3224 | 2008-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| 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 |
|---|---|---|---|---|
| 1801452362 | Outreach Recovery II, LLC | Family Medicine | 3649 Leonardtown Rd, Waldorf, MD 20601-3626 | 2019-05-10 |
| 1154764744 | Ashley Dunn-kerr | Family Medicine | 3225 Crain Hwy, Waldorf, MD 20603-4848 | 2013-04-12 |
| 1952564973 | Majd M Arnaout | Family Medicine | 177 Saint Patricks Drive, Waldorf, MD 20603-5533 | 2008-07-09 |
| 1841452687 | Lulita Lucero-ugalino | Family Medicine | 6b Industrial Park Drive, Unit 8, Waldorf, MD 20735-2073 | 2008-07-01 |
| 1780629683 | Medstar Southern Maryland Physicians, LLC | Family Medicine | 10 St Patricks Drive, Suite 203, Waldorf, MD 20603-4527 | 2006-06-17 |
| 1194765834 | Dainty J Jackson | Family Medicine | 11315 Pembrooke Sq Ste 112, Waldorf, MD 20603-4806 | 2006-06-08 |
| 1831177419 | Michael P. Dalgetty | Family Medicine | 2855 Crain Hwy, Waldorf, MD 20601-2840 | 2006-01-04 |
| 1679579361 | Richard A Farson | Family Medicine | 10 Saint Patricks Dr, Ste 203, Waldorf, MD 20603-4527 | 2005-06-27 |
| 1508341009 | Prime Medical Health Center, Inc | Family Medicine | 6b Industrial Park Drive, Unit 8, Waldorf, MD 20735-2073 | 2018-10-01 |
| 1194104729 | Lachrisa S. Jennings | Family Medicine | 2855 Crain Hwy, Waldorf, MD 20601-2840 | 2015-05-28 |
| Find all providers in WALDORF | ||||
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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.