PREMISE HEALTH OF MARYLAND MEDICAL P C (NPI# 1003335621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003335621 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF MARYLAND MEDICAL P C |
| Other Organization Name | THE WELLNESS CENTER OPERATED BY PREMISE HEALTH |
| Practice Address |
6801 Rockledge Dr Bethesda MD 20817-1803 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 3012143132 |
| Practice Fax Number | 3015713167 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryland Occupational Medical P C | Former Legal Business Name - Organization |
| The Wellness Center Operated by Premise Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881387 | Premise Health of Maryland Medical P C | Clinic/Center | 8403 Colesville Rd Fl 15, Silver Spring, MD 20910-6331 | 2017-02-23 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1497274013 | Premise Health of Maryland Medical P C | Clinic/Center | 103 Chesapeake Park Plz, Middle River, MD 21220-4201 | 2017-09-14 |
| 1649543513 | Premise Health of Maryland Medical P C | Clinic/Center | 1 Medimmune Way, Gaithersburg, MD 20878 | 2012-02-22 |
| Street Address |
6801 ROCKLEDGE DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770783144 | Marleece S Barber | Preventive Medicine | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2007-07-23 |
| 1023522174 | Lockheed Martin Corporation | Clinic/Center | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2017-11-28 |
| 1427207653 | Minda Gail Nieblas | Preventive Medicine | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396059879 | Ishtiaq A Malik, Md PC | Clinic/Center | 8880 Bradley Blvd, Bethesda, MD 20817-2607 | 2010-07-27 |
| 1639796428 | Scholar Medical Group Md LLC | Clinic/Center | 3 Bethesda Metro Ctr Ste 700, Bethesda, MD 20814-6300 | 2020-06-29 |
| 1548760770 | Complexions Medical Aesthetics | Clinic/Center | 4905 Del Ray Ave Ste 301, Bethesda, MD 20814-2558 | 2018-02-14 |
| 1780956532 | Mobile Medical Care Inc | Clinic/Center | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2012-02-08 |
| 1356659122 | Erik S. Kass, M.d., Professional Corporation | Clinic/Center | 7986 Old Georgetown Rd, Suite B, Bethesda, MD 20814-2458 | 2010-09-15 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1104006816 | Lerner Vision Care, LLC | Clinic/Center | 7101 Wisconsin Ave Ste 112, Bethesda, MD 20814-4805 | 2007-11-09 |
| 1548460710 | Chiroaid, LLC | Clinic/Center | 4641 Montgomery Ave, Suite 410, Bethesda, MD 20814-3488 | 2007-07-24 |
| 1356464234 | Shahnaz Motamedi | Clinic/Center | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2007-04-07 |
| 1437204773 | Samueli Institute | Clinic/Center | 4301 Jones Bridge Rd, Family Practice Clinic, Bethesda, MD 20814-4712 | 2007-01-25 |
| 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.