PATIENT FIRST MARYLAND MEDICAL GROUP (NPI# 1023487873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023487873 |
| Entity Type | Organization |
| Organization Name | PATIENT FIRST MARYLAND MEDICAL GROUP |
| Other Organization Name | PATIENT FIRST CLINTON |
| Practice Address |
9000 Woodyard Rd Clinton MD 20735-4206 |
| Mailing Address |
5000 Cox Rd Ste 100 Glen Allen VA 23060-9263 |
| Practice Telephone | 2405463428 |
| Practice Fax Number | 2405463429 |
| Mailing Telephone | 8048224383 |
| Mailing Fax Number | 8049650987 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | MR. MARVIN W BRIDGERS III (VP, PHARMACY) |
| Authorized Official Telephone | 8048224383 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | D0080205 | MD | Suppliers |
| Other Name | Type Code |
|---|---|
| PATIENT FIRST CLINTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1194372870 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 21044 Frederick Rd, Germantown, MD 20876-4132 | 2019-08-19 |
| 1629528948 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 15459 Annapolis Road, Bowie, MD 20715 | 2016-10-11 |
| 1609227230 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 10424 Baltimore Ave, Beltsville, MD 20705-2321 | 2016-06-24 |
| 1639532393 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2051 West St, Annapolis, MD 21401-3006 | 2016-03-31 |
| 1003203613 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 726 Rockville Pike, Rockville, MD 20852-1133 | 2015-04-21 |
| 1952732851 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 950 York Rd, Towson, MD 21204-2513 | 2013-12-03 |
| 1972939163 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 8601 16th St, Silver Spring, MD 20910-2261 | 2013-09-19 |
| 1689937732 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 1110 Annapolis Rd, Odenton, MD 21113 | 2012-06-22 |
| 1922381748 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 6333 Baltimore National Pike, Catonsville, MD 21228 | 2011-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Patient First Maryland Medical Group P.L.L.C. | 5000 Cox Rd, Glen Allen, Virginia 23060 |
| Street Address |
9000 WOODYARD RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030438 | Adebowale Prest | Family Medicine | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2005-08-16 |
| 1932675923 | Shauntel Latryce Davis | Physician Assistant | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2018-10-17 |
| 1609399393 | Olaperi Koletowo | Preventive Medicine | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2017-07-25 |
| 1407211980 | Aneesa Sunday Webb | Physician Assistant | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2015-12-28 |
| 1174994198 | Jeffrey Ezra Jones | Physician Assistant | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2015-10-16 |
| 1528435492 | Patient First Maryland Medical Group Pllc | Family Medicine | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2015-08-27 |
| 1588069694 | Nkangu Kenneth Fomengia | Family Medicine | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2014-10-31 |
| 1013318211 | Mary Darleen Richardson | Nurse Practitioner | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2014-09-08 |
| 1568872059 | Beryl Kompancaril | Family Medicine | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2014-05-06 |
| 1891129102 | Christine Yingst | Physician Assistant | 9000 Woodyard Rd, Clinton, MD 20735-4206 | 2013-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912032442 | Womens Health Services of Eastern Iowa Inc | Non-Pharmacy Dispensing Site | 2635 Lincoln Way, Ste A, Clinton, IA 52732-7203 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864489 | Welldoc, Inc. | Non-Pharmacy Dispensing Site | 10221 Wincopin Cir Ste 150, Columbia, MD 21044-3444 | 2019-10-30 |
| 1619444213 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 940 Seton Dr Ste A, Cumberland, MD 21502-1871 | 2018-11-01 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1003383720 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 6820 Hospital Dr Ste 302, Baltimore, MD 21237-4362 | 2018-10-31 |
| 1003383654 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1838 Greene Tree Rd Ste 150, Pikesville, MD 21208-7100 | 2018-10-31 |
| 1629545272 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 510 Upper Chesapeake Dr Ste 415, Bel Air, MD 21014-4336 | 2018-10-31 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| 1093178923 | Jeffrey Y H Chung LLC | Non-Pharmacy Dispensing Site | 14201 Laurel Park Dr Ste 104, Laurel, MD 20707-5203 | 2016-03-29 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 1871967414 | Annapolis Foot and Ankle Center | Non-Pharmacy Dispensing Site | 130 Love Point Rd Ste 103, Stevensville, MD 21666-2132 | 2015-11-19 |
| 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.