IDONGESIT IHEANYICHUKWU ATTANG (NPI# 1114312758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114312758 |
| Entity Type | Individual |
| Full Name | IDONGESIT IHEANYICHUKWU ATTANG |
| Credential | M.D. |
| Practice Address |
1221 Mercantile Lane Largo MD 20774 |
| Mailing Address |
2101 E Jefferson St Ste 6w Rockville MD 20852-4908 |
| Practice Telephone | 3016185500 |
| Mailing Telephone | 3018165853 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
D84615 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1221 MERCANTILE LANE |
| City | LARGO |
| State | MD |
| Zip Code | 20774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699960872 | Cristina Frances Whalen | Pharmacist | 1221 Mercantile Lane, Clinical Pharmacy Department, Largo, MD 20774-0001 | 2007-09-11 |
| 1275664526 | Marie Ann Eason | Radiology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-03-08 |
| 1144360587 | Shirley Anne Vanmilder | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1639219975 | Rhonda A Henry | Optometrist | 1221 Mercantile Lane, Largo, MD 20774 | 2007-02-07 |
| 1124174875 | Jerry Wendell Mcconnell | Internal Medicine | 1221 Mercantile Lane, Largo, MD 20774 | 2007-01-26 |
| 1942359922 | Elaine Ziavras | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2007-01-09 |
| 1811052889 | Helayne Marsha Silver | Obstetrics & Gynecology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-27 |
| 1245390749 | Howard Ian Savage | Ophthalmology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| 1154481653 | Sheryl L Clements | Nurse Practitioner | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| 1073673505 | Mark Howard Terris | Otolaryngology | 1221 Mercantile Lane, Largo, MD 20774-5374 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028338 | Shanelle Moore | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-08-17 |
| 1659716256 | Cynthia Chika Odogwu | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2013-05-08 |
| 1992979546 | Young Foundational Health Center | Family Medicine | 7241 Bryan Dairy Rd, Largo, FL 33777 | 2008-04-15 |
| 1548382153 | Esther Nnenna Nwogu | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-04 |
| 1538230263 | Douglas Murray Baird IIi | Family Medicine | 13540 Walsingham Rd, Largo, FL 33774-3546 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245371 | Cynthia Tessie | Family Medicine | 1398 Hawthorn Dr, Hanover, MD 21076-2197 | 2020-11-05 |
| 1093354920 | Irina Konstantinovna Baum | Family Medicine | 3893 Fortress Ct, Hampstead, MD 21074-1790 | 2019-12-23 |
| 1972140242 | Abisola Omowumi Alade | Family Medicine | 9312 Silver Charm Dr, Randallstown, MD 21133-4610 | 2019-12-05 |
| 1336799634 | Abosede Adeniji Sakariyah | Family Medicine | 18403 Woodhouse Ln, Germantown, MD 20874-4110 | 2019-09-18 |
| 1962960229 | Parkville Medical Group LLC | Family Medicine | 1721 Belfast Rd, Sparks, MD 21152-9786 | 2019-03-06 |
| 1548665771 | Robert Charles Frey | Family Medicine | 801 Richardson Dr, Harwood, MD 20776-9463 | 2014-10-30 |
| 1639571573 | C. Gottfried Baumann | Family Medicine | 8293 Brices Mill Rd, Chestertown, MD 21620-4678 | 2014-09-23 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1750623393 | William Nicholas Fishbein | Family Medicine | 13549 Scottish Autumn Ln, Gaithersburg, MD 20878-3990 | 2013-03-21 |
| 1114273844 | Kum Hai Lee | Family Medicine | 815 Woodley Dr, Rockville, MD 20850-2033 | 2012-07-31 |
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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.