ERAN KESSOUS MD PC (NPI# 1538392964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538392964 |
| Entity Type | Organization |
| Organization Name | ERAN KESSOUS MD PC |
| Other Organization Name | MONTGOMERY SPORTS MEDICINE CENTER |
| Practice Address |
11120 New Hampshire Ave Ste 411 Silver Spring MD 20904-2604 |
| Mailing Address |
11120 New Hampshire Ave Ste 411 Silver Spring MD 20904-2604 |
| Practice Telephone | 3017540505 |
| Practice Fax Number | 3017540509 |
| Mailing Telephone | 3017540505 |
| Mailing Fax Number | 3017540509 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | DR. ERAN KESSOUS (DIRECTOR) |
| Authorized Official Telephone | 3017540505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
D0066523 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Montgomery Sports Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104282409 | Eran Kessous Md PC | Clinic/Center | 11120 New Hampshire Ave, 411, Silver Spring, MD 20904-2633 | 2016-01-04 |
| Street Address |
11120 NEW HAMPSHIRE AVE STE 411 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119447 | Michael E Leibowitz | Internal Medicine | 11120 New Hampshire Ave, Suite 305, Silver Spring, MD 20904-2633 | 2006-01-23 |
| 1730732959 | Kate Regan | Dietitian, Registered | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2019-07-17 |
| 1104380229 | Mehrnaz Paydar | Dietitian, Registered | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2019-01-23 |
| 1164956207 | Zafira Ismail Bhimani | Physical Therapist | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2017-04-15 |
| 1447702097 | Nicholas Poulos | Specialist | 11120 New Hampshire Ave, Suite 200, Silver Spring, MD 20904-2633 | 2016-10-31 |
| 1104282409 | Eran Kessous Md PC | Clinic/Center | 11120 New Hampshire Ave, 411, Silver Spring, MD 20904-2633 | 2016-01-04 |
| 1689039075 | Lisa Medoh | Nurse Practitioner | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2015-12-29 |
| 1811364540 | Silver Spring Ent, LLC | Specialist | 11120 New Hampshire Ave, Suite 504, Silver Spring, MD 20904-2633 | 2015-08-28 |
| 1053724518 | Jessica Curran | Family Medicine | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-06-03 |
| 1588084883 | Nava Shlesinger | Physical Therapist | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677518 | Jonathan Damon Lawless | Family Medicine | 11120 New Hampshire Ave Ste 411, Silver Spring, MD 20904-2620 | 2012-04-09 |
| 1053724518 | Jessica Curran | Family Medicine | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-06-03 |
| 1821033358 | Eran Kessous | Family Medicine | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467644807 | Anne K. Rettig | Family Medicine | 12111 Darnestown Rd, Gaithersburg, MD 20878-2205 | 2007-08-09 |
| 1881765170 | Christian Nnamdi Nwankwo Jr. | Family Medicine | 17 Firstfield Rd, 2nd Floor, Gaithersburg, MD 20878-1774 | 2006-11-10 |
| 1265529762 | Christopher Edward Jonas | Family Medicine | 4301 Jones Bridge Rd Dept Of, Bethesda, MD 20814-4712 | 2006-10-06 |
| 1962448902 | Shahab Z Siddiqui | Family Medicine | 324 E Antietam St Ste 305, Hagerstown, MD 21740-5768 | 2006-06-20 |
| 1649256496 | John L Ferrell IIi | Family Medicine | 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 | 2005-12-22 |
| 1821502709 | Phillip Michael Morgan | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-11-29 |
| 1124552302 | Phil Mor Fit | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-04-14 |
| 1083069348 | Miranda Gordon-zigel | Family Medicine | 1420 Key Hwy, Baltimore, MD 21230-5546 | 2016-04-25 |
| 1245609494 | University of Maryland Athletics-college Park | Family Medicine | 379 Field House Dr, College Park, MD 20742-0001 | 2015-09-17 |
| 1356729040 | Edilberto Atienza Jr. | Family Medicine | 3407 Wilkens Ave, Baltimore, MD 21229 | 2015-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
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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.