BLOSSOMING MINDS PEDIATRICS (NPI# 1538779509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538779509 |
| Entity Type | Organization |
| Organization Name | BLOSSOMING MINDS PEDIATRICS |
| Practice Address |
11723 Trotter Crossing Ln Clarksville MD 21029-1445 |
| Practice Telephone | 2405060739 |
| Mailing Telephone | 2405060739 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | DR. KEYVAN RAFEI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2405060739 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
11723 TROTTER CROSSING LN |
| City | CLARKSVILLE |
| State | MD |
| Zip Code | 21029-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1740647262 | Darren Joseph | Physical Therapist | 6151 Daylong Lane, Clarksville, MD 21029 | 2016-01-28 |
| 1619302437 | Ashley Kneale | Physical Therapist | 6408 Silent Moon Run, Clarksville, MD 21029 | 2013-09-11 |
| 1780949693 | Jane Choi Council | Optometrist | 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 | 2012-07-06 |
| 1598035248 | Jeffrey Stuart Abrams | Internal Medicine | 5073ten Oaks Rd, Clarksville, MD 21029 | 2012-01-11 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1285892430 | Mary Carol Wayda | Social Worker | 5905 Tall Branches Pass, Clarksville, MD 21029 | 2008-05-23 |
| 1407978422 | Basil Saiedy Dds LLC | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1629329214 | Dina Michele Singer | Acupuncturist | 12451 Clarksville Pike, Clarksville, MD 21029 | 2012-09-24 |
| 1689796609 | Basil Saiedy | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| Find all providers in zip 21029 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871923805 | David Heppel | Pediatrics | 7318 Meadow Wood Way, Clarksville, MD 21029-1711 | 2013-11-12 |
| 1699911594 | Rainbow Kids Clinic | Pediatrics | 111 Otis Smith Dr., Clarksville, TN 37043 | 2008-12-23 |
| 1063563252 | Elaine Trogdon | Pediatrics | 5912 Tall Branches Pass, Clarksville, MD 21029-1691 | 2007-01-15 |
| 1265524151 | Sally Jane Wheeler | Pediatrics | 2051 Clevidence Blvd Ste C, Clarksville, IN 47129-2278 | 2006-09-28 |
| 1902916620 | Elsa M Haddad | Pediatrics | 2606 Wildwood Dr, Clarksville, IN 47129-1642 | 2006-08-30 |
| 1629008719 | Jami Reyes | Pediatrics | 6016 Red Clover Ln, Clarksville, MD 21029-1271 | 2006-07-04 |
| 1700841210 | Jill S Howell-berg | Pediatrics | 2052 Clevidence Blvd, Ste 1, Clarksville, IN 47129-2278 | 2006-04-18 |
| 1568437036 | Margaret Ellen Sears-dementhon | Pediatrics | 6578 Guilford Rd, Clarksville, MD 21029-1520 | 2006-02-20 |
| 1700867538 | Laurie A Harris-ford | Pediatrics | 2199 Memorial Dr, Clarksville, TN 37043 | 2005-11-09 |
| 1942295589 | Larry M Faust | Pediatrics | 800 Weatherly Dr, Clarksville, TN 37043-8943 | 2005-09-20 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 21029 |
Please comment or provide details below to improve the information on BLOSSOMING MINDS PEDIATRICS.
| 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.