CREATIVE LIFESTYLES MANAGEMENT PROG (NPI# 1447430376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447430376 |
| Entity Type | Organization |
| Organization Name | CREATIVE LIFESTYLES MANAGEMENT PROG |
| Other Organization Name | LABORATORY FOR SLEEP DISORDERS |
| Practice Address |
10 St. Patricks Drive Suite 101 Waldorf MD 20603-3500 |
| Mailing Address |
7503 Surratts Road Clinton MD 20735-3358 |
| Practice Telephone | 3018774600 |
| Practice Fax Number | 3018705747 |
| Mailing Telephone | 3018707001 |
| Mailing Fax Number | 3018706697 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | MR. CHARLES R. STEWART (CFO) |
| Authorized Official Telephone | 3018774541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Laboratory For Sleep Disorders | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594846 | Creative Lifestyles Management Prog | Internal Medicine | 7501 Surratts Road, Suite 202, Clinton, MD 20735-3358 | 2005-08-02 |
| Street Address |
10 ST. PATRICKS DRIVE SUITE 101 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114261377 | Sleep First, LLC | Internal Medicine | 3575 Old Washington Rd, Suite C, Waldorf, MD 20602-3209 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346404 | Kl Goring LLC | Internal Medicine | 995 Prince Frederick Blvd Ste 101, Prince Frederick, MD 20678-3199 | 2017-06-18 |
| 1144501461 | Guillermo J. Giangreco, M.d., LLC | Internal Medicine | 1741 Allerford Dr, Hanover, MD 21076-1798 | 2011-08-31 |
| 1972629210 | Karoline Moon | Internal Medicine | 6565 N. Charles Street, Ppe 411, Baltimore, MD 21204 | 2007-03-21 |
| 1760569974 | Midatlantic Sleep Disorder Center LLC | Internal Medicine | 13627 Baltimore Ave, Laurel, MD 20707-5095 | 2006-11-01 |
| 1346347820 | Riad Dakheel, M.d., P.a. | Internal Medicine | 4000 Mitchellville Rd., Suite B216, Bowie, MD 20716-3145 | 2006-09-19 |
| 1770687493 | Thomas Francis Burke | Internal Medicine | 2303 Bel Air Rd, C/o Sleepmed, Fallston, MD 21047-2737 | 2006-09-12 |
| 1700824125 | Mohammad Miran | Internal Medicine | 1110 Opal Ct Ste 4&5, Hagerstown, MD 21740-5942 | 2006-06-04 |
| 1871080721 | Johns Hopkins University | Internal Medicine | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-04-17 |
| 1194174367 | Sleep Clinicalservices LLC | Internal Medicine | 6701 Democracy Blvd, Ste 300, Bethesda, MD 20817-1572 | 2016-06-08 |
| 1881043040 | Cpap Clinicalservices LLC | Internal Medicine | 6701 Democracy Blvd, Ste 300, Bethesda, MD 20817-1572 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
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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.