PLUMTREE PEDIATRICS, LLC (NPI# 1093724163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093724163 |
| Entity Type | Organization |
| Organization Name | PLUMTREE PEDIATRICS, LLC |
| Other Organization Name | LAUREL PEDIATRIC AND TEEN MEDICAL CENTER |
| Practice Address |
2014 S Tollgate Rd Suite 200 Bel Air MD 21015-5903 |
| Practice Telephone | 4105699533 |
| Practice Fax Number | 4105691254 |
| Mailing Telephone | 4105699533 |
| Mailing Fax Number | 4105691254 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | DR. GENEROSA CRUZ LAZOR (DIRECTOR) |
| Authorized Official Telephone | 4105699533 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D34413 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 293901100 | 05 | |
| MD | 408959600 | 05 |
| Other Name | Type Code |
|---|---|
| LAUREL PEDIATRIC AND TEEN MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
2014 S TOLLGATE RD SUITE 200 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467440461 | Ralph H Weiner | Dentist | 2014 S Tollgate Rd, Suite 103, Bel Air, MD 21015-5903 | 2005-10-12 |
| 1578903423 | Amber Larue Wheeler | Nurse Practitioner | 2014 S Tollgate Rd, Suite 200, Bel Air, MD 21015-5903 | 2013-06-25 |
| 1215216510 | Justin Michael Swanson | Physical Therapist | 2014 S Tollgate Rd, Ste 106, Bel Air, MD 21015-5903 | 2011-08-04 |
| 1306157441 | Vicki Robin Mcgowan II | Pediatrics | 2014 S Tollgate Rd, Suite 200, Bel Air, MD 21015-5903 | 2010-06-23 |
| 1720315732 | Oral Surgery Associates P.a. | Dentist | 2014 S Tollgate Rd, Suite 100, Bel Air, MD 21015-5903 | 2009-11-11 |
| 1235399494 | Maryland Orthotics and Prosthetics Co., Inc | Prosthetic/Orthotic Supplier | 2014 S Tollgate Rd, Suite 105, Bel Air, MD 21015 | 2008-06-11 |
| 1275741431 | Jennifer Michelle Seibel | Physician Assistant | 2014 S Tollgate Rd, Suite 200, Bel Air, MD 21015-5903 | 2007-05-20 |
| 1336293018 | Gary Merle Epstein | Dentist | 2014 S Tollgate Rd, Suite 100, Bel Air, MD 21015-5903 | 2007-01-22 |
| 1790797165 | Henning & Cole Therapy Associates, Ltd. | Occupational Therapist | 2014 S Tollgate Rd, Suite 106, Bel Air, MD 21015-5903 | 2006-08-13 |
| 1548283666 | Wendy Kelly | Social Worker | 2014 S Tollgate Rd, Bel Air, MD 21015-5903 | 2006-07-26 |
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|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750602025 | Express Primary Care, LLC | Clinic/Center | 1206 Agora Dr Ste B, Bel Air, MD 21014-0019 | 2010-06-21 |
| 1508188335 | Tinney Family Medicine LLC | Clinic/Center | 754 N Hickory Ave, Bel Air, MD 21014-3042 | 2010-02-21 |
| 1386898443 | Bala Family Practice | Clinic/Center | 2021b Emmorton Rd, Suite 210, Bel Air, MD 21015-8980 | 2008-11-14 |
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| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
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| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
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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.