BETHESDA ALLERGY, ASTHMA, AND RESEARCH CENTER, LLC (NPI# 1417298209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417298209 |
| Entity Type | Organization |
| Organization Name | BETHESDA ALLERGY, ASTHMA, AND RESEARCH CENTER, LLC |
| Practice Address |
4915 Auburn Ave Suite 202 Bethesda MD 20814-2636 |
| Practice Telephone | 3019073442 |
| Practice Fax Number | 3019076835 |
| Mailing Telephone | 3019073442 |
| Mailing Fax Number | 3019076835 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | DR. GORDON DAVID RAPHAEL (MANAGING MEMBER) |
| Authorized Official Telephone | 3019073442 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Street Address |
4915 AUBURN AVE SUITE 202 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295789386 | Javed Rahmat | Internal Medicine | 4915 Auburn Ave, Suite 104, Bethesda, MD 20814-2636 | 2006-05-22 |
| 1780160531 | Jordan Ashley Madison | Marriage & Family Therapist | 4915 Auburn Ave, Bethesda, MD 20814-2636 | 2018-07-16 |
| 1235628470 | Genardra Pugh | Counselor | 4915 Auburn Ave, Suite 102, Bethesda, MD 20814 | 2018-05-03 |
| 1326474511 | East Coast Behavioral Health, LLC | Community/Behavioral Health | 4915 Auburn Ave, Suite 102, Bethesda, MD 20814-2636 | 2013-09-19 |
| 1194049544 | Pleasant Health Services Inc | Contractor | 4915 Auburn Ave, C/o Dr. Kaldun Nossuli, Suite 306, Bethesda, MD 20814-2636 | 2010-03-15 |
| 1912152703 | Samantha T. Bender, Ph.d., LLC | Community/Behavioral Health | 4915 Auburn Ave, Suite 110, Bethesda, MD 20814-2636 | 2008-11-21 |
| 1619003167 | Gordon David Raphael | Allergy & Immunology | 4915 Auburn Ave, Suite 202, Bethesda, MD 20814-2636 | 2007-02-26 |
| 1972648079 | Edward Spector | Psychologist | 4915 Auburn Ave, Ste. 110, Bethesda, MD 20814-2636 | 2007-02-20 |
| 1124193479 | Washington Nephrology Associates | Internal Medicine | 4915 Auburn Ave, Suite 104, Bethesda, MD 20814-2636 | 2006-11-22 |
| 1447323050 | Ingrid Zooi Conklin | Social Worker | 4915 Auburn Ave, Suite 110, Bethesda, MD 20814-2636 | 2006-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
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| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893073 | Lauren Virginia Wood | Allergy & Immunology | 10 Center Drive Msc 1578, Building 10 Room 4a22, Bethesda, MD 20892-1578 | 2013-07-11 |
| 1104175413 | John H Kehrl | Allergy & Immunology | 6002 Manor Oak Way, Bethesda, MD 20814-1866 | 2012-08-31 |
| 1528298965 | Julie E. Ledgerwood | Allergy & Immunology | Nih 9000 Rockville Pike Clinical Research Ctr, Crc Building 10 Room 5-2440, Bethesda, MD 20892-0001 | 2009-07-20 |
| 1982846184 | Melody Carter | Allergy & Immunology | 10 Center Dr Msc 1881, Bldg 10 Rm 213, Bethesda, MD 20892-0001 | 2009-04-02 |
| 1225275456 | Thomas Bruce Nutman | Allergy & Immunology | 4 Center Dr, Bldg 4 - Room B1-03, Bethesda, MD 20892-0425 | 2009-01-09 |
| 1932345618 | Dean D. Metcalfe | Allergy & Immunology | Nih 10 Center Dr, 10/11c207, Bethesda, MD 20892-0001 | 2008-12-30 |
| 1720203920 | Paneez Khoury | Allergy & Immunology | 50 South Dr, Building 50, Msc 8003, Bethesda, MD 20892-0001 | 2007-04-16 |
| 1194870311 | O & O Alpan, LLC | Allergy & Immunology | 5511 Oakmont Ave, Bethesda, MD 20817-3527 | 2007-01-25 |
| 1265412696 | Charles Edward Lee | Allergy & Immunology | National Naval Medical Center, 8901 Wisconsin Ave, Allergy and Immunology Clinic, Building 9, 1st Floor, Bethesda, MD 20889-0001 | 2006-01-20 |
| 1235119389 | Casey J Geaney | Allergy & Immunology | Wrnmmc, 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2006-01-17 |
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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.