THE PEDIATRIC CARE CENTER (NPI# 1659541803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659541803 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC CARE CENTER |
| Practice Address |
5612 Spruce Tree Ave Bethesda MD 20814-1626 |
| Practice Telephone | 3015645880 |
| Practice Fax Number | 3015645889 |
| Mailing Telephone | 3015645880 |
| Mailing Fax Number | 3015645889 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | PAUL T PEEBLES (DIRECTOR) |
| Authorized Official Telephone | 3015645880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE PEDIATRIC CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992121081 | The Pediatric Care Center | Clinic/Center | 214 Chaparral Blvd, Rio Grande City, TX 78582-4605 | 2014-03-13 |
| 1437575172 | The Pediatric Care Center | Pediatrics | 214 Chaparral Blvd, Rio Grande City, TX 78582-4605 | 2014-03-05 |
| Street Address |
5612 SPRUCE TREE AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591481 | Karin Marina Belsito | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2006-03-11 |
| 1992319917 | Mary Jeanne Dougherty | Nurse Practitioner | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2020-09-08 |
| 1336339431 | Virginia Grace Cohen | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2007-07-26 |
| 1346336468 | James Earl Mattey | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2006-10-05 |
| 1700972817 | Dana Lee Kornfeld | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2006-10-05 |
| 1912093022 | Jennifer Apple Sussmann | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2006-10-05 |
| 1760578884 | Paul Russell Weiner | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2006-10-05 |
| 1417043530 | Paul Thomas Peebles | Pediatrics | 5612 Spruce Tree Ave, Bethesda, MD 20814-1626 | 2006-10-05 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1730740879 | Katherine Gloria Meilleur | Pediatrics | 1 Cloister Ct, Bethesda, MD 20814-1460 | 2019-06-27 |
| 1487122925 | Edward Tabor | Pediatrics | 5110 Cape Cod Ct, Bethesda, MD 20816-2907 | 2018-11-02 |
| 1639658420 | Washington International Pediatrics LLC | Pediatrics | 4808 Moorland Lane, Suite 109, Bethesda, MD 20814 | 2018-08-13 |
| 1396237830 | Marguerite Cowtun | Pediatrics | 5124 Scarsdale Rd, Bethesda, MD 20816-2321 | 2018-05-31 |
| 1598121410 | Susan Elizabeth Swedo | Pediatrics | 10 Center Drive Msc 1255, Nih Intramural Research Program, Bethesda, MD 20892-1255 | 2016-01-07 |
| 1386055085 | Rebecca Persky | Pediatrics | 10 Center Drive Building 10, Room 1nw-2742, Bethesda, MD 20892 | 2014-05-15 |
| 1528483534 | Elizabeth Marx Perkins | Pediatrics | 4954 N Palmer Rd Bldg 194th, Bethesda, MD 20889-5630 | 2014-02-27 |
| 1740523000 | Megan Lynn Donahue | Pediatrics | 8930 Brown Drive, Dept of Peds, Bldg 19, Fl 4, Bethesda, MD 20889 | 2013-04-04 |
| 1881936169 | Gian Carlo Salmoiraghi | Pediatrics | 8216 Hamilton Spring Ct, Bethesda, MD 20817-2714 | 2013-03-25 |
| Find all providers in BETHESDA | ||||
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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.