LA PLATA PEDIATRICS & FAMILY HEALTH, LLC (NPI# 1891001996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891001996 |
| Entity Type | Organization |
| Organization Name | LA PLATA PEDIATRICS & FAMILY HEALTH, LLC |
| Practice Address |
103 Centennial St Suite B La Plata MD 20646-5984 |
| Mailing Address |
103 Centennial St Ste B La Plata MD 20646-5985 |
| Practice Telephone | 3016438127 |
| Mailing Telephone | 3019349111 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | JAMIE REIDY (OWNER AND NURSE PRACTITIONER) |
| Authorized Official Telephone | 0139349111 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
R162903 | MD | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R162903 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 033338700 | 05 |
| Street Address |
103 CENTENNIAL ST SUITE B |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-5984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033304381 | Joshua Tennant | Physical Medicine & Rehabilitation | 103 Centennial St, Suite H, La Plata, MD 20646-5984 | 2007-09-10 |
| 1437569407 | Mandy Colegrove | Nurse Practitioner | 103 Centennial St, Suite B, La Plata, MD 20646-5984 | 2014-04-30 |
| 1508185505 | Jamie Lee Reidy | Nurse Practitioner | 103 Centennial St, Suite B, La Plata, MD 20646-5984 | 2010-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1679191290 | Ez Health Resources, LLC | Clinic/Center | 13119 Piney Meetinghouse Rd, Potomac, MD 20854-6350 | 2020-07-09 |
| 1962027052 | Tammy Senn, LLC | Clinic/Center | 2996 Hobbs Rd, Glenwood, MD 21738-9731 | 2020-06-15 |
| 1548885346 | Doris Collaborative Family Practice, LLC | Clinic/Center | 7671 Mandrake Ct Unit 222, Elkridge, MD 21075-7995 | 2020-06-08 |
| 1205457124 | Mark Johnson, Md, PC | Clinic/Center | 10801 Lockwood Dr Ste 285, Silver Spring, MD 20901-1556 | 2020-05-01 |
| 1548894314 | Isinc Healthcare Services, LLC | Clinic/Center | 229 Washington Blvd S, Laurel, MD 20707-4615 | 2020-03-02 |
| 1821648312 | Capital Multi Health Group, Inc | Clinic/Center | 2411 Crofton Ln Ste 4a, Crofton, MD 21114-1337 | 2019-09-17 |
| 1396395166 | Farr Out Eyecare LLC | Clinic/Center | 820 Market St, Westminster, MD 21157-6114 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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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.