MEDSTAR MEDICAL GROUP II LLC


Address: 7503 Surratts Rd, Clinton, MD 20735-3358
Phone: 3018775627

MEDSTAR MEDICAL GROUP II LLC (NPI# 1154937829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154937829
Entity Type Organization
Organization Name MEDSTAR MEDICAL GROUP II LLC
Practice Address 7503 Surratts Rd
Clinton
MD 20735-3358
Mailing Address Po Box 418597
Boston
MA 02241-8597
Practice Telephone 3018775627
Enumeration Date 2020-09-18
Last Update Date 2020-09-18
Authorized Official Name STEPHANIE SCHNEIDER (VP)
Authorized Official Telephone 7025581403
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174H00000X Health Educator Other Service Providers

Other Provider/Organization Names

Other Name Type Code
MedStar Diabetes Prev MSMHC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083247894 Medstar Medical Group II LLC General Practice 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 2020-02-20
1720694490 Medstar Medical Group II LLC Health Educator 9000 Franklin Square Dr, Baltimore, MD 21237-3901 2020-09-18
1437765104 Medstar Medical Group II LLC Health Educator 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 2020-09-18
1770198301 Medstar Medical Group II LLC Internal Medicine 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2020-09-10
1538704416 Medstar Medical Group II LLC Clinic/Center 3800 Reservoir Rd Nw, 1 Bles, Washington, DC 20007-2113 2019-11-14
1093368409 Medstar Medical Group II LLC Psychiatry & Neurology 5601 Loch Raven Blvd Ste 406, Baltimore, MD 21239-2949 2019-07-24
1215580618 Medstar Medical Group II LLC Psychiatry & Neurology 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 2019-07-24
1053874321 Medstar Medical Group II LLC Psychiatry & Neurology 18101 Prince Philip Dr, Olney, MD 20832-1514 2019-04-12
1013489368 Medstar Medical Group II LLC Psychiatry & Neurology 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 2018-12-27
1184046187 Medstar Medical Group II LLC General Practice 5601 Loch Raven Blvd, Russell Morgan Bldg 3rd Fl, Baltimore, MD 21239-2945 2014-01-09

Office Location

Street Address 7503 SURRATTS RD
City CLINTON
State MD
Zip Code 20735-3358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881695807 Southern Maryland Intensive Care, Inc. Specialist 7503 Surratts Rd, Clinton, MD 20735-3358 2005-08-02
1720693732 Kudi S Njembu Nurse Practitioner 7503 Surratts Rd, Clinton, MD 20735-3358 2020-09-15
1831716760 Chantal Tuell Health Educator 7503 Surratts Rd, Clinton, MD 20735-3358 2020-06-26
1164049029 Susan Jane Hicks Health Educator 7503 Surratts Rd, Clinton, MD 20735-3358 2020-06-26
1790311009 Mariam Yaktieen Physician Assistant 7503 Surratts Rd, Clinton, MD 20735-3358 2020-03-18
1518592559 Dana Hinesly Physician Assistant 7503 Surratts Rd, Clinton, MD 20735-3358 2020-03-10
1528606845 Chigozie Ndugba Registered Nurse 7503 Surratts Rd, Clinton, MD 20735-3358 2019-12-17
1336784222 Iris Chung Physician Assistant 7503 Surratts Rd, Clinton, MD 20735-3358 2019-11-14
1740787191 Faramade O Eruanga Family Medicine 7503 Surratts Rd, Clinton, MD 20735-3358 2018-04-11
1447759980 Lesley Jane Walinchus-foster Emergency Medicine 7503 Surratts Rd, Clinton, MD 20735-3358 2018-02-11
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174H00000X
Grouping Other Service Providers
Classification Health Educator

Taxonomy Definition

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063984011 Cyndi Morgan Garrigan Health Educator 310 S Apache Rd, Clinton, TN 37716-4210 2018-12-31
1801107339 Vergia Headspeth-randolph Health Educator 9411 Temple Hill Rd, Clinton, MD 20735-4434 2010-06-30
1831716760 Chantal Tuell Health Educator 7503 Surratts Rd, Clinton, MD 20735-3358 2020-06-26
1164049029 Susan Jane Hicks Health Educator 7503 Surratts Rd, Clinton, MD 20735-3358 2020-06-26
1760021828 Andrea Barnett Health Educator 1410 N 4th St, Clinton, IA 52732-2940 2020-01-06
1104320258 Eden Tesfaye Health Educator 7801 Old Branch Ave Ste 409, Clinton, MD 20735-1644 2018-03-22
1518281393 Joshua Albert Reed Health Educator 90 N 31st St, Clinton, OK 73601-9116 2010-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124645908 Rose L Dodson Health Educator 11350 Pembrooke Sq Ste 314, Waldorf, MD 20603-4809 2020-06-29
1497389829 Christine Harding Health Educator Calvert Library - Fairview Branch, 8120 Southern Md Blvd, Owings, MD 20736 2020-02-25
1699307868 Western Maryland Area Health Education Center, Inc. Health Educator 39 Baltimore St Ste 201, Cumberland, MD 21502-3066 2020-02-06
1104456102 Lajune Singleton Health Educator 6918 Sourwood Ln, Fort Washington, MD 20744-3142 2020-01-19
1508406166 Jennifer Dawn Schindler Health Educator 8120 Southern Maryland Blvd, Owings, MD 20736-3703 2020-01-13
1588202543 Leslie Amina Gyau Health Educator 13621 Montvale Dr, Silver Spring, MD 20904-1283 2019-12-20
1316589476 Victoria Gilliam Health Educator 2101 E Jefferson St Fl 2, Rockville, MD 20852-4908 2019-10-10
1811543796 Shenna Hair Health Educator 607 Melville Ave, Baltimore, MD 21218-2552 2019-08-15
1063068187 Jennifer Diane Taubert Health Educator 450 W Dares Beach Rd, Prince Frederick, MD 20678-3126 2019-08-14
1841843752 Erika Demme Health Educator 9010 Chesapeake Avenue, North Beach, MD 20714 2019-07-19
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Competitor

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City CLINTON
Zip Code 20735

Improve Information

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Dataset Information

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.

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