ERAN KESSOUS MD PC (NPI# 1104282409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104282409 |
| Entity Type | Organization |
| Organization Name | ERAN KESSOUS MD PC |
| Other Organization Name | MONTGOMERY SPORTS MEDICINE CENTER |
| Practice Address |
11120 New Hampshire Ave 411 Silver Spring MD 20904-2633 |
| Practice Telephone | 3017540505 |
| Practice Fax Number | 3017540509 |
| Mailing Telephone | 3017540505 |
| Mailing Fax Number | 3017540509 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | MS. DONA MARIA BOWIE (OFFICE MANAGER) |
| Authorized Official Telephone | 3017540505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
D0066523 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PTAN | 182336 | 01 |
| Other Name | Type Code |
|---|---|
| MONTGOMERY SPORTS MEDICINE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538392964 | Eran Kessous Md PC | Family Medicine | 11120 New Hampshire Ave, Ste 411, Silver Spring, MD 20904-2604 | 2009-09-02 |
| Street Address |
11120 NEW HAMPSHIRE AVE 411 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119447 | Michael E Leibowitz | Internal Medicine | 11120 New Hampshire Ave, Suite 305, Silver Spring, MD 20904-2633 | 2006-01-23 |
| 1730732959 | Kate Regan | Dietitian, Registered | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2019-07-17 |
| 1104380229 | Mehrnaz Paydar | Dietitian, Registered | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2019-01-23 |
| 1164956207 | Zafira Ismail Bhimani | Physical Therapist | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2017-04-15 |
| 1447702097 | Nicholas Poulos | Specialist | 11120 New Hampshire Ave, Suite 200, Silver Spring, MD 20904-2633 | 2016-10-31 |
| 1689039075 | Lisa Medoh | Nurse Practitioner | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2015-12-29 |
| 1811364540 | Silver Spring Ent, LLC | Specialist | 11120 New Hampshire Ave, Suite 504, Silver Spring, MD 20904-2633 | 2015-08-28 |
| 1053724518 | Jessica Curran | Family Medicine | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-06-03 |
| 1588084883 | Nava Shlesinger | Physical Therapist | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-04-24 |
| 1730502816 | Comprehensive Medical Care, LLC | Internal Medicine | 11120 New Hampshire Ave, Suite 300, Silver Spring, MD 20904-2633 | 2014-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220335 | Craft Physiotherapy LLC | Clinic/Center | 1400 E West Hwy Apt 624, Silver Spring, MD 20910-3257 | 2019-11-19 |
| 1609417401 | Cam Physical Therapy and Wellness Services LLC | Clinic/Center | 2730 University Blvd W Ste 802, Silver Spring, MD 20902-1977 | 2019-10-02 |
| 1821513045 | Mindful Mobility Physical Therapy & Wellness | Clinic/Center | 713 Dartmouth Ave, Silver Spring, MD 20910-5540 | 2017-08-09 |
| 1073759221 | Teodros Hailu | Clinic/Center | 8401 Colesville Rd Ste 310, Silver Spring, MD 20910-3363 | 2008-12-18 |
| 1184806648 | Whittles Physical Therapy LLC | Clinic/Center | 9801 Georgia Ave Ste 333, Silver Spring, MD 20902-5276 | 2007-11-27 |
| 1376536565 | Affinity Sports & Rehabilitaion Physical Therapy | Clinic/Center | 1105 Spring St, Silver Spring, MD 20910-4026 | 2005-08-24 |
| 1619506300 | Holystick,llc | Clinic/Center | 14428 Homecrest Rd, Silver Spring, MD 20906 | 2020-04-03 |
| 1457868952 | Oluwapelumi Mariam Awolesi | Clinic/Center | 1220 E West Hwy, Silver Spring, MD 20910-3244 | 2018-01-05 |
| 1972951960 | Jonathan Wayne Kriebel | Clinic/Center | 10750 Columbia Pike Ste 310, Silver Spring, MD 20901-4453 | 2016-05-31 |
| 1306207345 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 8380 Colesville Rd, Suite 200, Silver Spring, MD 20910-6255 | 2016-03-18 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on ERAN KESSOUS MD PC.
| 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.