WAVERLY INTERNAL MEDICINE, LLC (NPI# 1194966648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194966648 |
| Entity Type | Organization |
| Organization Name | WAVERLY INTERNAL MEDICINE, LLC |
| Practice Address |
11165 Stratfield Ct First Floor Marriottsville MD 21104-1650 |
| Mailing Address |
11165 Stratfield Ct 1st Floor Marriottsville MD 21104-1625 |
| Practice Telephone | 4104428065 |
| Practice Fax Number | 4104428067 |
| Mailing Telephone | 4104428065 |
| Mailing Fax Number | 4104428067 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | DR. NDIDI BONIQUE FEINBERG (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2406016434 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11165 STRATFIELD CT FIRST FLOOR |
| City | MARRIOTTSVILLE |
| State | MD |
| Zip Code | 21104-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407150659 | Rest Assured Sleep Centers, LLC | Sleep Specialist, PhD | 11165 Stratfield Ct, 1st Floor, Marriottsville, MD 21104-1625 | 2011-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659834679 | Annemarie Wagener | Speech-Language Pathologist | 870 Driver Rd., Marriottsville, MD 21104 | 2019-04-08 |
| 1043653272 | Katelyn M Roe | Occupational Therapist | 840 Marriottsville Rd, Marriottsville, MD 21104 | 2013-04-08 |
| 1972675858 | Sport & Family Physical Therapy, LLC. | Physical Therapist | 2470 Longstone Lane, Suite K, Marriottsville, MD 21104 | 2006-11-15 |
| 1689752628 | Steven A Scurnick | Dentist | 11225 Dovedale Drive, Marriottsville, MD 21104 | 2006-11-01 |
| 1447332309 | Ann Catherine Zinger | Dentist | Roschella and Zinger Dental Group, 2500 Wallington Way, Marriottsville, MD 21104 | 2006-10-19 |
| 1093105686 | Amy Innerbichler | Speech-Language Pathologist | 2500 Wallington Way, Suite 103, Marriottsville, MD 21104 | 2015-02-03 |
| 1740550649 | Ashley Renee Brown | Dentist | 2500 Wallington Way, #204, Marriottsville, MD 21104 | 2012-01-09 |
| 1760551048 | Karen Burke Roschella | Dentist | Roschella and Zinger Dental Group, 2500 Wallington Way, Marriotsville, MD 21104 | 2006-11-08 |
| 1881084804 | Kristen Tignall | Nurse Anesthetist, Certified Registered | 6901 Pine Hill Ct, Marriottsville, MD 21104-1018 | 2015-01-29 |
| 1164071759 | Np Consultant, LLC | Nurse Practitioner | 7341 Argonne Dr, Marriottsville, MD 21104-1074 | 2019-09-06 |
| Find all providers in zip 21104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871552265 | Elizabeth S Bower | Internal Medicine | 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 | 2006-03-22 |
| 1396738779 | Randal Paul Riesett | Internal Medicine | 2470 Longstone Ln Ste I, Marriottsville, MD 21104-1523 | 2005-08-31 |
| 1992145460 | Ji Yon Kwon | Internal Medicine | 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 | 2013-06-28 |
| 1750492419 | Charter Internal Medicine, LLC | Internal Medicine | 2470 Longstone Ln Ste I, Marriottsville, MD 21104-1523 | 2006-08-31 |
| 1104886167 | Risa W Huber | Internal Medicine | 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 | 2006-03-24 |
| 1497748883 | Jonathan Scott Fish | Internal Medicine | 2470 Longstone Ln Ste I, Marriottsville, MD 21104-1523 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528353 | Barry Whitcomb Wolcott | Internal Medicine | 7353 Oskaloosa Dr, Derwood, MD 20855-2647 | 2020-11-04 |
| 1891396107 | Medacute Care LLC | Internal Medicine | 313 Skyview Dr, Cumberland, MD 21502-1929 | 2020-11-03 |
| 1689272262 | Marsha Seidelman, M.d., LLC | Internal Medicine | 10301 Georgia Ave Ste 304, Silver Spring, MD 20902-5020 | 2020-10-15 |
| 1770190647 | Medical Maryland Star Choice LLC | Internal Medicine | 2308 Pot Spring Rd, Luthvle Timon, MD 21093-2726 | 2020-09-25 |
| 1538774609 | Benchmark Medical LLC | Internal Medicine | 904 Stags Head Rd, Towson, MD 21286-1459 | 2020-09-15 |
| 1760090294 | Outreach Recovery II, LLC | Internal Medicine | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1699398008 | Tb Medical | Internal Medicine | 10753 Falls Rd Ste 225, Lutherville, MD 21093-4597 | 2020-05-20 |
| 1073136693 | Bernard Willis Parker | Internal Medicine | 15239 Briarcliff Manor Way, Burtonsville, MD 20866-1662 | 2020-05-19 |
| 1134742695 | Dura Internal Medicine Limited Liability Company | Internal Medicine | 15225 Shady Grove Rd Ste 103, Rockville, MD 20850-3252 | 2020-05-19 |
| 1457973026 | Zeus Primary Care Associates LLC | Internal Medicine | 4701 Randolph Rd Ste 209a, Rockville, MD 20852-2257 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
| City | MARRIOTTSVILLE |
| Zip Code | 21104 |
Please comment or provide details below to improve the information on WAVERLY INTERNAL MEDICINE, LLC.
| 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.