M MEDICAL GROUP, INC. (NPI# 1780056168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780056168 |
| Entity Type | Organization |
| Organization Name | M MEDICAL GROUP, INC. |
| Practice Address |
4806 U St Nw Washington DC 20007-1546 |
| Practice Telephone | 2027311638 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DR. GERARD MOAWAD (PRESIDENT & CEO) |
| Authorized Official Telephone | 2027311638 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4806 U ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215182 | M-management, LLC | Internal Medicine | 4806 U St Nw, Washington, DC 20007-1546 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376772996 | Gavin Williams Ford | Internal Medicine | 3423 Oakwood Ter Nw Apt 3a, Washington, DC 20010 | 2009-07-02 |
| 1700011632 | Rebecca Krochmal | Internal Medicine | 3800 Reservoir Rd Nw Ste M4200, Washington, DC 20007-2113 | 2009-05-21 |
| 1962636514 | Andrew Daniel Lerner | Internal Medicine | 5215 Loughboro Rd Nw Ste 420, Washington, DC 20016-2627 | 2009-05-12 |
| 1477613958 | Lawrence S. Lepler | Internal Medicine | 2 Wramc Rm 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-12-12 |
| 1689022824 | Mariam Ali Abdelkader | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2016-05-27 |
| 1518351444 | Daniel Robert King | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037 | 2015-03-28 |
| 1063828531 | Mohammed Nabeel | Internal Medicine | 110 Irving St Nw Ste 2a38m, Washington, DC 20010-3017 | 2014-07-06 |
| 1376973362 | Anacostia Medical Associates | Internal Medicine | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2013-11-12 |
| 1154753564 | Adad Complex Medical | Internal Medicine | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2013-08-07 |
| 1912341462 | Enobong Efiong | Internal Medicine | 110 Irving St Nw, Washington, DC 20010-3017 | 2013-04-25 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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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.