DR. JUAN PABLO LITVAK (NPI# 1306855390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306855390 |
| Entity Type | Individual |
| Full Name | DR. JUAN PABLO LITVAK |
| Credential | MD |
| Practice Address |
6410 Rockledge Dr #503 Bethesda MD 20817 |
| Mailing Address |
25 Crossroads Drive Suite 306 Owings Mills MD 21117 |
| Practice Telephone | 3015301700 |
| Practice Fax Number | 3015300418 |
| Mailing Telephone | 4437382872 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2017-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | MD035370 | DC | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | D0062602 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407623100 | 05 |
| Street Address |
6410 ROCKLEDGE DR #503 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354748 | Suburban/nrh Medical Rehabilitation Inc | Clinic/Center | 6410 Rockledge Dr, Ste 600, Bethesda, MD 20817-1844 | 2005-05-31 |
| 1477165157 | Charlotte Eleanor Vogler | Student in an Organized Health Care Education/Training Program | 6410 Rockledge Dr, Bethesda, MD 20817-1809 | 2020-08-23 |
| 1699246090 | Cristina Garcia | Physical Therapist | 6410 Rockledge Dr, Bethesda, MD 20817-1809 | 2018-12-10 |
| 1003340092 | Metro Acupuncture Wellness Clinic Pllc | Acupuncturist | 6410 Rockledge Dr, Suite 310, Bethesda, MD 20817-1809 | 2017-04-17 |
| 1104378173 | Pavel Klein | Social Worker | 6410 Rockledge Dr, Suite 610, Bethesda, MD 20817-1809 | 2016-10-26 |
| 1700334026 | Kerry Callahan | Physical Therapist | 6410 Rockledge Dr, 600, Bethesda, MD 20817-1809 | 2016-09-15 |
| 1083161343 | Katherine Koenig | Physical Therapist | 6410 Rockledge Dr, Suite 600, Bethesda, MD 20817-1809 | 2016-09-04 |
| 1174077994 | Sarah Kuzmack | Physical Therapist | 6410 Rockledge Dr, Suite 600, Bethesda, MD 20817-1809 | 2016-08-10 |
| 1063890234 | Suburban/nrh Rehabilitation Hospital, Inc. | Physical Therapist | 6410 Rockledge Dr, Suite 600, Bethesda, MD 20817-1809 | 2015-05-08 |
| 1487069605 | Melanie Sara Niemeyer | Physician Assistant | 6410 Rockledge Dr, Suite 402, Bethesda, MD 20817-1809 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
| 1205270667 | Sandeep Gurram | Urology | 10 Center Drive Building 10 Room 1-5940w, Bethesda, MD 20892-8424 | 2013-04-28 |
| 1275783375 | Mark Wayne Ball | Urology | 10 Center Drive Rm 2-5942, Bethesda, MD 20892-0005 | 2008-09-25 |
| 1841413275 | David James Osborn | Urology | 8930 Brown Dr, Bethesda, MD 20889-5629 | 2007-04-11 |
| 1588725071 | Peter Anthony Pinto | Urology | 10 Center Dr Msc 1210, Building 10, Crc, Room 1w-5940, Uob,nci, Nih, Bethesda, MD 20892-0001 | 2006-12-12 |
| 1003809310 | Mark Rosenblum | Urology | 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 | 2005-08-23 |
| 1700310273 | Zhao Li | Urology | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-12 |
| 1194103861 | Michael Daneshvar | Urology | Nih Clinical Center, 10 Center Dr., Bethesda, MD 20814 | 2015-05-13 |
| 1386031425 | Bradley Roy Webster | Urology | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2015-04-15 |
| 1114346004 | Devang Sharma | Urology | 6410 Rockledge Dr Ste 503, Bethesda, MD 20817-7822 | 2014-04-08 |
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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.