CORAM HEALTHCARE CORPORATION OF GREATER DC (NPI# 1689069676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689069676 |
| Entity Type | Organization |
| Organization Name | CORAM HEALTHCARE CORPORATION OF GREATER DC |
| Other Organization Name | CORAM CVS/SPECIALTY INFUSION SERVICES |
| Practice Address |
9520 Georgia Ave Silver Spring MD 20910-1436 |
| Mailing Address |
555 17th St Suite 1500 Denver CO 80202-3950 |
| Practice Telephone | 4107206501 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | JODY L KEPLER (PRESIDENT) |
| Authorized Official Telephone | 3036728631 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORAM HEALTHCARE CORPORATION OF GREATER DC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coram CVS/specialty Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300861 | Coram Healthcare Corporation of Greater Dc | Pharmacy | 7150 Columbia Gateway Dr, Suite E, Columbia, MD 21046-2972 | 2006-07-01 |
| 1962897959 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 7600 Crain Hwy, Upper Marlboro, MD 20772-4232 | 2015-04-06 |
| 1245625235 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 300 Ballenger Center Dr, Frederick, MD 21703-7096 | 2015-04-06 |
| 1396130381 | Coram Healthcare Corporation of Greater Dc | Clinic/Center | 10 E Wilson Blvd, Hagerstown, MD 21740-7331 | 2015-04-06 |
| 1134228745 | Coram Healthcare Corporation of Greater Dc | Home Health | 4115 Pleasant Valley Rd, Suite 200, Chantilly, VA 20151-1220 | 2006-09-21 |
| Street Address |
9520 GEORGIA AVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720039167 | Sonja Virginia Barsky | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2006-05-12 |
| 1417568049 | Jacob Gordon | Physician Assistant | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2020-08-17 |
| 1295352300 | Jessica Ortega | Physician Assistant | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2020-07-06 |
| 1912546110 | Satta Yonday Samura | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2020-01-06 |
| 1295200863 | Princess Margaret Manley | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2018-10-09 |
| 1528558335 | Donna Hoffman | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2018-05-16 |
| 1346613585 | Cynthia Paulter | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-11-10 |
| 1063899482 | Lydia Walker | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2015-05-05 |
| 1407264211 | Daniel Mutooni | Pharmacist | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2014-07-24 |
| 1295165918 | Susan Arreymbi | Nurse Practitioner | 9520 Georgia Ave, Silver Spring, MD 20910-1436 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145381 | Baltimore Ketamine Clinic | Clinic/Center | 1 Texas Station Ct Ste 320, Timonium, MD 21093-8290 | 2019-10-17 |
| 1265917017 | Hagerstown Infusion, LLC | Clinic/Center | 1829 Howell Rd Ste 2b, Hagerstown, MD 21740-6606 | 2018-09-27 |
| 1336629609 | Rhenew Infusion Services LLC | Clinic/Center | 166 Defense Hwy Ste L102, Annapolis, MD 21401-8925 | 2018-08-16 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1922537299 | Medvenous LLC | Clinic/Center | 4200 Forbes Blvd Ste 209, Lanham, MD 20706-4829 | 2017-06-08 |
| 1568400687 | Option Care Enterprises, Inc. | Clinic/Center | 9140 Guilford Rd, Suite K, Columbia, MD 21046-1811 | 2006-06-02 |
| 1811547540 | Revered Medical, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852-4119 | 2019-09-15 |
| 1215585336 | Wellness Infusions | Clinic/Center | 5430 Campbell Blvd Ste 111, White Marsh, MD 21162-5503 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
Please comment or provide details below to improve the information on CORAM HEALTHCARE CORPORATION OF GREATER DC.
| 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.