HENRIOT ST GERARD (NPI# 1770572042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770572042 |
| Entity Type | Individual |
| Full Name | HENRIOT ST GERARD |
| Credential | M.D. |
| Practice Address |
3510 Old Washington Road Second Floor Waldorf MD 20603 |
| Mailing Address |
3510 Old Washington Rd Second Floor Waldorf MD 20602-3233 |
| Practice Telephone | 2404271859 |
| Practice Fax Number | 3013964534 |
| Mailing Telephone | 2404271859 |
| Mailing Fax Number | 3013964534 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | D0027326 | MD | Other Service Providers |
| Street Address |
3510 OLD WASHINGTON ROAD SECOND FLOOR |
| City | WALDORF |
| State | MD |
| Zip Code | 20603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295861235 | Susan Caroline Herron | Nurse Practitioner | 3510 Old Washington Road, Suite 100, Waldorf, MD 20602 | 2007-02-26 |
| 1720191455 | Carolyn B Martin | Registered Nurse | 3510 Old Washington Road, 2nd Floor, Waldorf, MD 20602 | 2006-08-16 |
| 1740261924 | Gopalakrishnan Srinivasan | Internal Medicine | 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234 | 2005-11-07 |
| 1205817459 | Vivek Nag | Internal Medicine | 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568702371 | Nova Physical Therapy, LLC | Specialist | 11154 Bunchberry Ct, Waldorf, MD 20601-2631 | 2013-02-15 |
| 1538425384 | Ismaila Kolawole Odubena | Specialist | 4651 Pebbleshire Ct, Waldorf, MD 20602-4108 | 2012-04-05 |
| 1922374255 | Advanced Pain Management Specialists LLC | Specialist | 2960 Technology Pl, Suite 103, Waldorf, MD 20601-4966 | 2012-03-30 |
| 1710168836 | George H Wathen Md Pa | Specialist | Suite 103, 11345 Pembrooke Sq, Waldorf, MD 20603-4804 | 2007-11-16 |
| 1174627707 | Finizio - Radiology Imaging Associates, PC | Specialist | 11335 Pembrooke Sq, Ste 101, Waldorf, MD 20603 | 2006-09-12 |
| 1174568273 | Finizio - Radiology Imaging Assoicates, P.C. | Specialist | 11335 Pembrooke Sq Ste 101, Waldorf, MD 20603-4845 | 2006-06-20 |
| 1750358370 | Juliet Anadu | Specialist | 10 Saint Patricks Dr Ste 105, Waldorf, MD 20603-5527 | 2006-03-02 |
| 1528065653 | Joel Sewchand | Specialist | 3510 Old Washington Rd, Suite 201, Waldorf, MD 20602-3233 | 2005-07-05 |
| 1033456900 | Cardiology Associates, LLC | Specialist | 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 | 2013-01-11 |
| 1922323377 | Zafar A. Ansari Md Pa | Specialist | 7 Post Office Rd, Suite E, Waldorf, MD 20602-2744 | 2010-03-29 |
| 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.