GEORGETOWN ORAND & MAX SURGERY (NPI# 1679890834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679890834 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN ORAND & MAX SURGERY |
| Practice Address |
4400 Jenifer St Nw Suite 270 Washington DC 20015-2113 |
| Practice Telephone | 2023649400 |
| Practice Fax Number | 2023641511 |
| Mailing Telephone | 2023649400 |
| Mailing Fax Number | 2023641511 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | MARY K KNAPMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 2023649400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | DEN4886 | DC | Managed Care Organizations |
| Street Address |
4400 JENIFER ST NW SUITE 270 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20015-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536278 | Robert Neil Smyth | Dentist | 4400 Jenifer St Nw, Ste 335, Washington, DC 20015-2086 | 2005-05-23 |
| 1598124760 | Rebecca Parks | Occupational Therapist | 4400 Jenifer St Nw, Suite #280, Washington, DC 20015-2113 | 2016-02-17 |
| 1902265101 | Sensational Kids Therapy LLC | Physical Therapist | 4400 Jenifer St Nw, Suite 280, Washington, DC 20015-2113 | 2016-02-16 |
| 1003275686 | Lisa George | Occupational Therapist | 4400 Jenifer St Nw, Suite 280, Washington, DC 20015-2113 | 2016-02-11 |
| 1912363573 | Fidel Dental Group, Pllc | Dentist | 4400 Jenifer St Nw, Suite 335, Washington, DC 20015-2113 | 2016-01-12 |
| 1013330414 | Christina Beth Tripodi | Psychologist | 4400 Jenifer St Nw, Washington, DC 20015-2113 | 2014-01-22 |
| 1194847301 | Elizabeth M Baugher | Occupational Therapist | 4400 Jenifer St Nw, 280, Washington, DC 20015-2113 | 2007-04-06 |
| 1538283916 | Stacy Coyle | Psychologist | 4400 Jenifer St Nw, Suite 280, Washington, DC 20015-2113 | 2007-03-19 |
| 1194850214 | Andrew Charles Cobb | Dentist | 4400 Jenifer St Nw, Suite 340, Washington, DC 20015-2086 | 2007-02-21 |
| 1497733463 | Walter John Mazzella | Dentist | 4400 Jenifer St Nw, #335, Washington, DC 20015 | 2006-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265944 | Family Orthodontics of Dc Pllc | Dentist | 5301 Wisconsin Ave Nw Ste 200, Washington, DC 20015 | 2018-02-12 |
| 1417351578 | Kelly Barnes | Registered Nurse | 3608 Rittenhouse St Nw, Washington, DC 20015 | 2014-10-20 |
| 1093143729 | Diana Kwan | Pharmacist | 5335 Wisconsin Ave, Washington, DC 20015 | 2013-10-15 |
| 1265867790 | Kimberly Roberts Perks | Occupational Therapist | 3200 Military Rd Nw, Washington, DC 20015 | 2013-09-03 |
| 1013356708 | Jason Douglas Wemmers | Psychologist | 5225 Wisconsin Ave, Nw, Suite 400, Washington, DC 20015 | 2013-06-17 |
| 1427364256 | Saralyn Mark | Internal Medicine | 4208 Ingomar St, Nw, Washington, DC 20015 | 2010-08-31 |
| 1205061108 | Stanley Isaac Rapoport | General Practice | 3050 Military Road Nw, Apt. 935, Washington, DC 20015 | 2009-05-20 |
| 1447410113 | Bonnie Cho | Dentist | 5212 Connecticut Ave Nw, Washington, DC 20015 | 2008-06-16 |
| 1184804015 | Daniel Samuel Pine | Psychiatry & Neurology | 5225 Wisconsin Avenue Nw, Suite 400 The Ross Center, Washington, DC 20015 | 2007-11-08 |
| 1821291659 | John M Dluhy Jr. | Psychiatry & Neurology | 3709 Ingomar St Nw, Washington, DC 20015 | 2007-06-08 |
| Find all providers in zip 20015 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1235354358 | Mary Catherine Quigley | Exclusive Provider Organization | 2440 M St Nw Ste 429, Washington, DC 20037-1450 | 2007-04-16 |
| 1497873665 | Franciscan Healthcare | Exclusive Provider Organization | 1400 Quincy St Ne, Washington, DC 20017-3041 | 2007-03-27 |
| 1598137788 | Community Support Network of Greater Dc | Exclusive Provider Organization | 1411 H St Ne, Washington, DC 20002-5034 | 2015-10-27 |
| 1528314903 | Metropolitan Homecare and Behavioral Services | Exclusive Provider Organization | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2012-08-03 |
| 1053684209 | G & K Health Care Professionals LLC | Exclusive Provider Organization | 7700 Alaska Ave Nw, Washington, DC 20012-1422 | 2012-02-20 |
| 1063785541 | Marc J Holzman | Exclusive Provider Organization | 2021 K St Nw, Suite 416, Washington, DC 20006-1003 | 2012-02-15 |
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| City | WASHINGTON |
| Zip Code | 20015 |
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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.