DONALD W. WICZER, M.D., GEORGE M. KORENGOLD, M.D., VANESSA M. MAYOL (NPI# 1003927146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003927146 |
| Entity Type | Organization |
| Organization Name | DONALD W. WICZER, M.D., GEORGE M. KORENGOLD, M.D., VANESSA M. MAYOL |
| Other Organization Name | BETHESDA PEDIATRICS |
| Practice Address |
11325 Seven Locks Road # 238 Potomac MD 20854 |
| Practice Telephone | 3012998930 |
| Practice Fax Number | 3012998933 |
| Mailing Telephone | 3012998930 |
| Mailing Fax Number | 3012998933 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DR. GEORGE M. KORENGOLD (PRESIDENT) |
| Authorized Official Telephone | 3012998930 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0017886 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST OF MD | S962 | 01 |
| DC | CAREFIRST/BLUE CHOICE | C043 | 01 |
| MD | 910821100 | 05 |
| Other Name | Type Code |
|---|---|
| Bethesda Pediatrics | Other Name - Individual/Organization |
| Street Address |
11325 SEVEN LOCKS ROAD # 238 |
| City | POTOMAC |
| State | MD |
| Zip Code | 20854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| 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 |
|---|---|---|---|---|
| 1902341647 | Mary E Young | Pediatrics | 10119 Gary Rd, Potomac, MD 20854-4109 | 2017-01-04 |
| 1619396561 | Amy L Hapip | Pediatrics | 11325 Seven Locks Rd Ste 238, Potomac, MD 20854-3205 | 2014-04-08 |
| 1003169186 | Carol Schulman | Pediatrics | 11340 Palatine Dr, Potomac, MD 20854-1446 | 2012-10-26 |
| 1053686410 | Hart Pediatrics, LLC | Pediatrics | 1022 Willowleaf Way, Potomac, MD 20854-2936 | 2012-03-19 |
| 1790059491 | Frank W Neuberger | Pediatrics | 9434 Lost Trail Way, Potomac, MD 20854-2094 | 2012-02-28 |
| 1861765968 | Peter Zachary Konigsberg | Pediatrics | 10512 Willowbrook Dr, Potomac, MD 20854-4458 | 2012-02-20 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1104145168 | Carol Megan Cutts | Pediatrics | 9106 Belmart Rd, Potomac, MD 20854-1601 | 2010-05-28 |
| 1730401159 | Jacqueline M Miller | Pediatrics | 11315 S Glen Rd, Potomac, MD 20854-1849 | 2010-02-26 |
| 1275865404 | Peter R Starke | Pediatrics | 10116 Weatherwood Ct, Potomac, MD 20854-2173 | 2010-02-15 |
| Find all providers in POTOMAC | ||||
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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.