PEDIATRIC TLC, INC (NPI# 1225573413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225573413 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC TLC, INC |
| Practice Address |
334 Mill St Hagerstown MD 21740-6138 |
| Practice Telephone | 3013939170 |
| Practice Fax Number | 3013939173 |
| Mailing Telephone | 3013939170 |
| Mailing Fax Number | 3013939173 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | DR. MOHAMMAD TARIQ (PRESIDENT) |
| Authorized Official Telephone | 3013317882 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
D0064771 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 013140700 | 05 |
| Street Address |
334 MILL ST |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-6138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366467441 | Mohammad Tariq | Pediatrics | 334 Mill St, Hagerstown, MD 21740-6138 | 2006-07-12 |
| 1639654544 | Chelsea Shoaf | Nurse Practitioner | 334 Mill St, Hagerstown, MD 21740-6138 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649235888 | Drs Weiss & Becker Pa | Pediatrics | 1141 Opal Court, Hagerstown, MD 21740 | 2006-04-19 |
| 1568859437 | Mutsa Nyakabau | Pediatrics | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2015-04-18 |
| 1780627810 | Antietam Pediatric and Adolescent Care, LLC | Pediatrics | 1161 Omega Dr, Hagerstown, MD 21740-5574 | 2006-06-14 |
| 1790733699 | Shafaat Ullah Khan | Pediatrics | 363 S Cleveland Ave, Suite 201, Hagerstown, MD 21740-5747 | 2006-05-04 |
| 1922064765 | Martin Douglas Becker | Pediatrics | 1141 Opal Court, Hagerstown, MD 21740 | 2006-04-21 |
| 1265497192 | Robert Edward Weiss | Pediatrics | 1141 Opal Court, Hagerstown, MD 21740 | 2006-04-20 |
| 1255323168 | Ruth A Dwyer | Pediatrics | 1161 Omega Dr, Hagerstown, MD 21740-5574 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621707 | Montgomery County Maryland Government | Pediatrics | 19401 Crystal Rock Dr, Germantown, MD 20874-1593 | 2020-02-19 |
| 1386191419 | Ganesan,jhansi R. Md, PC | Pediatrics | 8355 Cherry Ln, Laurel, MD 20707-4829 | 2016-09-07 |
| 1346582244 | Katherine Maureen Carlin | Pediatrics | Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 | 2013-03-19 |
| 1316286032 | Prime Pediatrics, LLC | Pediatrics | 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878-1676 | 2013-02-01 |
| 1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
| 1013123876 | Janet V Johnson | Pediatrics | 3311 Toledo Ter Ste C201, Hyattsville, MD 20782-8148 | 2007-05-15 |
| 1366573784 | Shelley Jane Parr | Pediatrics | University Health Ctr, Bldg. 140, College Park, MD 20742-4711 | 2007-03-08 |
| 1528198652 | Cheryl Lynn Parks | Pediatrics | 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 | 2007-03-07 |
| 1265563001 | Sacared Bodison | Pediatrics | University Health Center - University of Maryland, Building 140, College Park, MD 20742 | 2007-03-07 |
| 1851433965 | Karakat S & Indira V Gokulanathan Ptr | Pediatrics | 9470 Annapolis Rd Ste 311, Lanham, MD 20706-3022 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.