DR. PABLO ABALLE DUBLIN JR. (NPI# 1972675643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972675643 |
| Entity Type | Individual |
| Full Name | DR. PABLO ABALLE DUBLIN JR. |
| Credential | MD |
| Practice Address |
11325 Pembroke Square Suite 113 Waldorf MD 20603-4807 |
| Practice Telephone | 3016451781 |
| Practice Fax Number | 3013749237 |
| Mailing Telephone | 3016451781 |
| Mailing Fax Number | 3013749237 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D17859 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
11325 PEMBROKE SQUARE SUITE 113 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4807 |
| 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 | 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 |
| 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 |
| 1013989029 | Pankaj Vaidya | Pediatrics | 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601 | 2006-02-03 |
| 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.