POTOMAC PEDIATRICS, P.C. (NPI# 1134472046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134472046 |
| Entity Type | Organization |
| Organization Name | POTOMAC PEDIATRICS, P.C. |
| Other Organization Name | POTOMAC PEDIATRICS SUITE 1 |
| Practice Address |
15204 Omega Dr Rockville MD 20850-4601 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 3012796750 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | CAREN GLASSMAN (PRESIDENT) |
| Authorized Official Telephone | 3012796750 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | POTOMAC PEDIATRICS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Potomac Pediatrics Suite 1 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851644769 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1932452844 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1477806289 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1194078907 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1023361839 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1093068801 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1992057921 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-15 |
| 1124370150 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-15 |
| 1033461066 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-15 |
| 1053663088 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-15 |
| Street Address |
15204 OMEGA DR |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346201779 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 15204 Omega Dr, Ste 110, Rockville, MD 20850-3350 | 2006-03-28 |
| 1629448501 | Natalia Lea Darling | Physician Assistant | 15204 Omega Dr, Rockville, MD 20850-4601 | 2015-10-05 |
| 1144607748 | Maureen Mills | Registered Nurse | 15204 Omega Dr, Suite 100, Rockville, MD 20850-4601 | 2015-05-03 |
| 1720485493 | Deena Kotlewski | Counselor | 15204 Omega Dr, Suite 100, Rockville, MD 20850-4601 | 2014-11-24 |
| 1255746574 | Jane Henley | Nutritionist | 15204 Omega Dr, Suite 100, Rockville, MD 20850-4601 | 2014-06-25 |
| 1760726343 | Safe Travels LLC | Preventive Medicine | 15204 Omega Dr, Suite 100, Rockville, MD 20850-4601 | 2012-11-20 |
| 1851644769 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1932452844 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1477806289 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1194078907 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| 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 |
|---|---|---|---|---|
| 1346717949 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 11921 Rockville Pike, Suite 505, Rockville, MD 20852 | 2018-11-01 |
| 1003203613 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 726 Rockville Pike, Rockville, MD 20852-1133 | 2015-04-21 |
| 1851644769 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1932452844 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1477806289 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1194078907 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1023361839 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1093068801 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-17 |
| 1992057921 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-15 |
| 1124370150 | Potomac Pediatrics, P.C. | Non-Pharmacy Dispensing Site | 15204 Omega Dr, Rockville, MD 20850-4601 | 2012-10-15 |
| Find all providers in ROCKVILLE | ||||
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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.