INTEGRATED MEDICAL CLINIC (NPI# 1487289005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487289005 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL CLINIC |
| Practice Address |
11510 Georgia Ave Ste 111 Silver Spring MD 20902-1958 |
| Practice Telephone | 2407581782 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | PAIGE SMITH (PRACTICE ADMINSTRATOR) |
| Authorized Official Telephone | 3015094091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Integrated Medical Clinic LLC | 512 South 4th Street, Gadsden, AL 35901 |
| Washington State Corporations | INTEGRATED MEDICAL CLINICS, PLLC | 200 W. Mercer St. Ste 101, Seattle, WA 98119 |
| Street Address |
11510 GEORGIA AVE STE 111 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093258998 | Florence Nguh | Nurse Practitioner | 11510 Georgia Ave Ste 111, Silver Spring, MD 20902-1958 | 2016-11-23 |
| 1336409374 | Olivia Nguh | Nurse Practitioner | 11510 Georgia Ave Ste 111, Silver Spring, MD 20902-1958 | 2012-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1265049324 | Johanna Catherine Mckenna | Nurse Practitioner | 10750 Columbia Pike Ste 320, Silver Spring, MD 20901-4453 | 2020-09-23 |
| 1639793763 | Sonya Zhe Chang | Nurse Practitioner | 10203 Brunett Ave, Silver Spring, MD 20901-2004 | 2020-06-04 |
| 1568095966 | Kadiatu G Kamara | Nurse Practitioner | 13700 Beauwick Ct, Silver Spring, MD 20906-3005 | 2020-02-14 |
| 1598305294 | Jemila Kemal | Nurse Practitioner | 4104 Elby St, Silver Spring, MD 20906-4438 | 2020-01-10 |
| 1831736933 | Andrea Adenike Coker | Nurse Practitioner | 10230 New Hampshire Ave Ste 103, Silver Spring, MD 20903-1422 | 2019-12-08 |
| 1235770330 | Joanna M King | Nurse Practitioner | 3455 Castle Way, Silver Spring, MD 20904-4767 | 2019-10-01 |
| 1528614245 | Mary Warrah Tarawalie | Nurse Practitioner | 3607 Pear Tree Ct Apt 23, Silver Spring, MD 20906-5506 | 2019-08-18 |
| 1851857577 | Beena Zachariah | Nurse Practitioner | 2739 Sweet Clover Ct, Silver Spring, MD 20904-1884 | 2019-02-19 |
| 1477019834 | Leslyn Joseph | Nurse Practitioner | 14208 Grand Pre Rd Apt 301, Silver Spring, MD 20906-2889 | 2019-02-11 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20902 |
Please comment or provide details below to improve the information on INTEGRATED MEDICAL CLINIC.
| 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.