ALTMED MEDICAL CENTER INC (NPI# 1154561389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154561389 |
| Entity Type | Organization |
| Organization Name | ALTMED MEDICAL CENTER INC |
| Practice Address |
8700 Old Branch Ave Clinton MD 20735-2522 |
| Mailing Address |
7524 Diplomat Dr Ste 101 Manassas VA 20109-2685 |
| Practice Telephone | 3018682760 |
| Practice Fax Number | 3018681210 |
| Mailing Telephone | 7033614357 |
| Mailing Fax Number | 7033610346 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | GERALD K LEE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7033614357 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D0054211 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
8700 OLD BRANCH AVE |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2522 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1316149727 | Martin A Schiefer | General Practice | 100 Cedar Cove Turtle Creek, Clinton, MS 39056-5428 | 2007-06-05 |
| 1790733855 | Agapito Fajardo | General Practice | 906 N Us 421 Hwy, Clinton, NC 28328-0410 | 2006-05-04 |
| 1851363535 | Vincent S Toussaint | General Practice | 103 Mississippi Drive, Clinton, SC 29325 | 2006-02-06 |
| 1235118837 | Betty A Hibler | General Practice | 1320 Main Ave, Clinton, IA 52732-1923 | 2006-01-11 |
| 1457347379 | Roger E Jones | General Practice | 819 S 3rd St, Clinton, IN 47842-2205 | 2005-09-26 |
| 1073041299 | Russell Wayne Jefferson | General Practice | 501 S 11th St, Clinton, OK 73601-4303 | 2017-06-01 |
| 1710365382 | Mary Annette Pugh Md, Pllc | General Practice | 2500 Highway 65 S, Clinton, AR 72031-6588 | 2015-05-14 |
| 1295133528 | Mgmc, LLC | General Practice | 8926 Woodyard Rd, Suite 602, Clinton, MD 20735-4220 | 2014-12-19 |
| Find all providers in CLINTON | ||||
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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.