PM KIDS (NPI# 1689134124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689134124 |
| Entity Type | Organization |
| Organization Name | PM KIDS |
| Practice Address |
603 Post Office Rd Waldorf MD 20602-1914 |
| Mailing Address |
603 Post Office Rd Ste 108 Waldorf MD 20602-1914 |
| Practice Telephone | 2405857128 |
| Mailing Telephone | 2405857128 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | DR. WALI GAUVIN (CO-OWNER) |
| Authorized Official Telephone | 5164564706 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
603 POST OFFICE RD |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581777 | Glander Fitchett Jr. | Dentist | 603 Post Office Rd, 208, Waldorf, MD 20602-1914 | 2005-10-13 |
| 1114421872 | Jacquelin Darby | Psychologist | 603 Post Office Rd, Waldorf, MD 20602-1914 | 2018-03-19 |
| 1093055642 | Ramanda Mallery Pettit | Counselor | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2013-02-19 |
| 1710114202 | Irene Posey | Counselor | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2009-06-11 |
| 1134372840 | Sonya Ford-becton | Counselor | 603 Post Office Rd, Ste 210, Waldorf, MD 20602-1914 | 2008-10-25 |
| 1578603684 | Stephen Herskovitz | Social Worker | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2007-02-07 |
| 1164562278 | Shannon Howard | Counselor | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2007-02-07 |
| 1952441016 | Sandra Navarra | Counselor | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2007-02-07 |
| 1649310715 | Charles Ruby | Psychologist | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2007-02-07 |
| 1346380417 | Harriet Yevzeroff | Psychologist | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 | 2007-02-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1407208978 | Gina Balayan | Pediatrics | 3500 Old Washington Rd Ste 101, Waldorf, MD 20602-3205 | 2016-07-08 |
| 1548544992 | Adeteju Ogunrinde, Md, F.a.a.p., Children's Health Care Ctr. | Pediatrics | 605 Post Office Road, Suite 102, Waldorf, MD 20602 | 2011-10-04 |
| 1124316211 | Usama Samaan | Pediatrics | 4829 Flossmoor Pl, Apt 201, Waldorf, MD 20602-6100 | 2011-07-11 |
| 1891945069 | Pediatric Partners of Southern Maryland, Pa | Pediatrics | 11885 Holly Ln, Suite 1, Waldorf, MD 20601-3181 | 2008-09-24 |
| 1801946074 | Robert E Miller Md Faap Pa | Pediatrics | 11315 Pembrooke Square, Suite 110, Waldorf, MD 20603 | 2007-01-11 |
| 1982753877 | Medstar Southern Maryland Physicians, LLC | Pediatrics | 10 Saint Patricks Drive, Suite 105, Waldorf, MD 20603-4519 | 2007-01-09 |
| 1972675643 | Pablo Aballe Dublin Jr. | Pediatrics | 11325 Pembroke Square, Suite 113, Waldorf, MD 20603-4807 | 2006-11-15 |
| 1083711733 | Adeteju Ogunrinde | Pediatrics | 605 Post Office Rd, Suite 102, Waldorf, MD 20602-1913 | 2006-09-17 |
| 1487767166 | Joseph Davidson | Pediatrics | Smallwood Bldg, Suite 204, 2670 Crain Hwy, Waldorf, MD 20601 | 2006-08-16 |
| 1982669115 | Meena Chandrasekaran Anant | Pediatrics | 3600 Leonardtown Rd Ste 101, Waldorf, MD 20601-3647 | 2006-04-19 |
| 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.