IUDOK PREMOE


Address: 1050 W Perimeter Rd, Pediatric Clinic, Andrews Afb, MD 20762-6601
Phone: 2408572723

IUDOK PREMOE (NPI# 1508915554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508915554
Entity Type Individual
Full Name IUDOK PREMOE
Credential PNP
Practice Address 1050 W Perimeter Rd
Pediatric Clinic
Andrews Afb
MD 20762-6601
Mailing Address 1058 West Perimeter Road
Pediatric Clinic
Andrews Afb
MD 20762
Practice Telephone 2408572723
Practice Fax Number 2408576263
Mailing Telephone 2408572723
Mailing Fax Number 2408576263
Enumeration Date 2007-01-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R114085 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1050 W PERIMETER RD
PEDIATRIC CLINIC
City ANDREWS AFB
State MD
Zip Code 20762-6601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114360898 Lori Lynn Littlejohn Nurse Anesthetist, Certified Registered 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2013-04-11
1770838948 Heidi Derade Military Health Care Provider 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2012-07-13
1285916601 Janet Denise Cochran Social Worker 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2011-09-12
1699054288 Jose Antonio Rodriguez Military Health Care Provider 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2011-08-12
1497081574 Lindsay Kate Gregus Military Health Care Provider 1050 W Perimeter Rd, Sgoic, Andrews Afb, MD 20762-6601 2009-10-26
1093049827 Jon Burrill Geno Nurse Practitioner 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2009-09-26
1740419084 Christopher Clement Rhoney Military Health Care Provider 1050 W Perimeter Rd, 779 Mdg/sgn, Andrews Afb, MD 20762-6601 2009-07-08
1689800278 Dexter Dewayne Robinson Military Health Care Provider 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2009-06-09
1942444815 Erica Marie Jasper Military Health Care Provider 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2009-04-23
1760625040 Teresa Rollins Military Health Care Provider 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 2009-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982210423 Kevin Wang Dentist 1057 W Perimeter Rd, Prince County, MD 20762 2020-09-21
1306467667 Priscilla Andalia Student in an Organized Health Care Education/Training Program 1065 W. Perimeter Road, Jb Andrews, MD 20762 2020-04-28
1275162877 Gabi Im Dentist 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 2020-04-06
1083240139 Shirley Ye Student in an Organized Health Care Education/Training Program 1025 Boston Rd, Joint Base Andrews, MD 20762 2020-03-20
1255988853 Songxuan Zhou Niemtzow Acupuncturist Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 2019-08-20
1487010971 Tracy Ellen Ambos Social Worker 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 2016-01-13
1154718450 Ryan Mason Kring Emergency Medicine Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 2015-04-24
1518206044 Jeremy Gallman Veterinarian 1781 Arnold Ave., Joint Base Andrews, MD 20762 2013-02-04
1043556418 Kimberly Mccoy-singh Physical Therapist 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 2012-12-12
1417215799 Alexander Rostam Kheradi Emergency Medicine 1050 West Perimeter Road, Joint Base Andrews, MD 20762 2012-04-24
Find all providers in zip 20762

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902405574 Kylie White Nurse Practitioner 29595 Millstream Dr, Salisbury, MD 21804-2006 2020-10-23
1437764214 Kelly Weaver Nurse Practitioner 11315 Pembroke Square, 110, Waldorf, MD 20603 2020-09-09
1003420282 Mary Claire Perry Nurse Practitioner 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 2020-09-03
1063022853 Lauren Ranieri Nurse Practitioner 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 2020-08-06
1841847209 Brittany Nichole Frankel Nurse Practitioner 5870 Old Washington Rd, Sykesville, MD 21784-8622 2019-08-21
1912553595 Kelsey Lynn Peifer Nurse Practitioner 6131 Baldridge Ter, Frederick, MD 21701-5858 2019-08-10
1841845351 Advanced Practice Wellness, LLC Nurse Practitioner Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 2019-08-02
1851946305 Monica Patel Nurse Practitioner 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 2019-08-01
1922651082 Deborah A Weber Nurse Practitioner 480 Lake Dr, Lusby, MD 20657-3260 2019-07-18
1700438140 Emily Megan Burke Nurse Practitioner 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 2019-07-16
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Competitor

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City ANDREWS AFB
Zip Code 20762

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Dataset Information

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.

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