CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC (NPI# 1922496462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922496462 |
| Entity Type | Organization |
| Organization Name | CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC |
| Practice Address |
4701 Sangamore Rd Ste N270 Bethesda MD 20816-2528 |
| Mailing Address |
10625 Pine Haven Ter North Bethesda MD 20852-3434 |
| Practice Telephone | 2405075110 |
| Mailing Telephone | 3016025025 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | ANDREW WONG (FOUNDER AND MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3016025025 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D66066 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 014051100 | 05 |
| Street Address |
4701 SANGAMORE RD STE N270 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639213150 | Andrew Leung-doon Wong | Internal Medicine | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2007-02-17 |
| 1740881556 | Ayla Michelle Neal | Nutritionist | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2020-11-06 |
| 1932607504 | Integrated Acupuncture, LLC | Acupuncturist | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2018-01-29 |
| 1104224518 | Capital Integrative Health | Internal Medicine | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2014-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1063978930 | Ofq, Pllc | Internal Medicine | 5325 Westbard Ave Apt 620, Bethesda, MD 20816-4413 | 2019-02-15 |
| 1477036028 | Iago Pinal-fernandez | Internal Medicine | Nih/niams Bldg 50, Room 1140, Bethesda, MD 20892-0001 | 2018-09-10 |
| 1265932545 | Nobuyuki Takahashi | Internal Medicine | 9609 Medical Center Drive, Bethesda, MD 20892-9760 | 2018-02-13 |
| 1891229704 | Kimberly Staudt | Internal Medicine | Internal Medicine Walter Reed Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-18 |
| 1558710012 | Lawrence Paul Saladino | Internal Medicine | 4450 Montgomery Ave, Bethesda, MD 20814-4404 | 2016-06-06 |
| 1720449812 | Zachary Johnston | Internal Medicine | 4494 Palmer Rd N, Bethesda, MD 20889-2111 | 2016-03-16 |
| 1114306677 | Noushin Jazebi | Internal Medicine | Bg 10-crc Rm 7-5680 Msc 1404 10 Center Drive, Bethesda, MD 20892-1404 | 2015-05-29 |
| 1740677749 | Daniel Jaaron Selig | Internal Medicine | 194954 N. Palmer Rd. America Building, Internal Medicine Department Wrnmmc, Bethesda, MD 20889-5600 | 2015-04-17 |
| 1982090692 | Mickey Justin Myles Kuo | Internal Medicine | Bg 10 Rm 13n268, 10 Center Dr, Bethesda, MD 20814 | 2015-04-09 |
| 1740694884 | David Ng | Internal Medicine | 49 Convent Dr, Bldg 49 Rm 4a28, Bethesda, MD 20892-5805 | 2014-06-17 |
| Find all providers in BETHESDA | ||||
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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.