PREMISE HEALTH OF MARYLAND MEDICAL P C (NPI# 1649543513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649543513 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF MARYLAND MEDICAL P C |
| Other Organization Name | AZ HEALTH & WELLNESS CENTER |
| Practice Address |
1 Medimmune Way Gaithersburg MD 20878 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 3013986893 |
| Practice Fax Number | 3012089861 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AZ Health & Wellness Center | Doing Business As Name - Organization |
| MedImmune Employee Health and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881387 | Premise Health of Maryland Medical P C | Clinic/Center | 8403 Colesville Rd Fl 15, Silver Spring, MD 20910-6331 | 2017-02-23 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1003335621 | Premise Health of Maryland Medical P C | Clinic/Center | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2017-09-14 |
| 1497274013 | Premise Health of Maryland Medical P C | Clinic/Center | 103 Chesapeake Park Plz, Middle River, MD 21220-4201 | 2017-09-14 |
| Street Address |
1 MEDIMMUNE WAY |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617264 | Joseph Aaron Sliman | Preventive Medicine | 1 Medimmune Way, Gaithersburg, MD 20878-2204 | 2006-02-09 |
| 1659889194 | Larrye Ellis Loss | Pharmacist | 1 Medimmune Way, 101ord/2236d, Gaithersburg, MD 20878-2204 | 2018-01-18 |
| 1518336015 | Norman Peterson | Veterinarian | 1 Medimmune Way, Gaithersburg, MD 20878-2204 | 2015-09-15 |
| 1144537960 | William J Martone | Internal Medicine | 1 Medimmune Way, Gaithersburg, MD 20878-2204 | 2010-09-01 |
| 1720046683 | Jersey Chen | Internal Medicine | 1 Medimmune Way, Gaithersburg, MD 20878-2204 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1891253621 | Patricia Jeanette Engel | Speech-Language Pathologist | 851 Quince Orchard Blvd., Brown Station Es, Gaithersburg, MD 20878 | 2019-03-11 |
| 1093270340 | Adeola Atinuke Aremoh | Specialist | 652 Center Point Way, Gaithersburg, MD 20878 | 2019-01-31 |
| 1932606175 | Agnes H. Donahue | Dentist | 7 Melmark Ct, Gaithersburg, MD 20878 | 2018-04-12 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366958654 | Pcd Orthodontics, LLC | Dentist | 11904-d Darnestown Road, North Potomac, MD 20878 | 2017-12-21 |
| 1235677139 | Gaithersburg Anesthesia, LLC | Anesthesiology | 900 Wind River Lane Ste 106, Gaithersburg, MD 20878 | 2017-02-10 |
| 1356884209 | Meaghan Hitt | Behavioral Analyst | 11333 Brandy Hall Ln, North Potomac, MD 20878 | 2016-11-27 |
| 1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
| 1891243390 | Darvin Joy | Pharmacist | 704 Quince Orchard Rd, Gaithersburg, MD 20878 | 2016-09-14 |
| Find all providers in zip 20878 | ||||
| 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 |
|---|---|---|---|---|
| 1912164070 | Colonial Opticians of Poolesville Inc. | Clinic/Center | 718 Center Point Way, Gaithersburg, MD 20878-6469 | 2008-05-16 |
| 1558381152 | Laurence J.fields,dds & David H. Frome,dds,pa | Clinic/Center | 8 Russell Avenue, Suite 104, Gaithersburg, MD 20877-2962 | 2006-07-19 |
| 1528521705 | Osteopathic Physicians of The Potomac | Clinic/Center | 10810 Darnestown Rd Ste 205, Gaithersburg, MD 20878-2601 | 2019-04-13 |
| 1508298837 | Kaiser Permanente | Clinic/Center | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2013-08-09 |
| 1720347727 | Parents Choice Pediatric and Occupational Therapy Cener | Clinic/Center | 8945 N Westland Dr, Suite 200 A, Gaithersburg, MD 20877-1249 | 2012-05-10 |
| 1659674067 | Community Clinic Inc. | Clinic/Center | 610 E Diamond Ave, Suite 300, Gaithersburg, MD 20877-5321 | 2010-12-08 |
| 1629282983 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385276 | Trumedis Healthcare Services LLC | Clinic/Center | 6120 Baltimore National Pike Ste 204, Catonsville, MD 21228-2930 | 2020-10-26 |
| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1801494810 | Hd Telecommunications LLC | Clinic/Center | 1280 Wesel Blvd Ste C, Hagerstown, MD 21740-5378 | 2020-10-12 |
| 1679180327 | People Inspiring People | Clinic/Center | 3407 Tewkesbury Rd, Abingdon, MD 21009-1095 | 2020-09-28 |
| 1417563883 | Healthy Generations Comprehensive Care LLC | Clinic/Center | 7850 Rossville Blvd Ste 210, Nottingham, MD 21236-3934 | 2020-09-21 |
| 1093328148 | Cerner Health Connections, Inc | Clinic/Center | 15045 Burnt Store Rd, Hughesville, MD 20637-2699 | 2020-08-28 |
| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20878 |
Please comment or provide details below to improve the information on PREMISE HEALTH OF MARYLAND MEDICAL P C.
| 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.