PRIME CARE HOUSE CALLS PC (NPI# 1548658438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548658438 |
| Entity Type | Organization |
| Organization Name | PRIME CARE HOUSE CALLS PC |
| Practice Address |
2760 Wynfield Rd West Friendship MD 21794-9519 |
| Practice Telephone | 4432803480 |
| Mailing Telephone | 4432803480 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Authorized Official Name | MS. SANDRA MARY NETTINA (PRESIDENT) |
| Authorized Official Telephone | 4432803480 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R109061 | MD | Ambulatory Health Care Facilities |
| Street Address |
2760 WYNFIELD RD |
| City | WEST FRIENDSHIP |
| State | MD |
| Zip Code | 21794-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407880131 | Sandra M. Nettina | Nurse Practitioner | 2760 Wynfield Rd, West Friendship, MD 21794-9519 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477899383 | Clark Raymond Mollenhoff IIi | Acupuncturist | 13534 Julia Manor Way, West Friendship, MD 21794-9219 | 2012-12-20 |
| 1942621586 | Rizwan Lakhani | Acupuncturist | 13534 Julia Manor Way, West Friendship, MD 21794-9219 | 2013-12-29 |
| 1902207400 | Judith Roark | Counselor | 2675 Pfefferkorn Rd, West Friendship, MD 21794-9417 | 2014-09-16 |
| 1487128542 | Lisa Madoff Townsend | Speech-Language Pathologist | 12500 Frederick Rd, West Friendship, MD 21794-9509 | 2019-01-11 |
| 1285821033 | Kathleen M. Green | Physical Therapist | 2700 Wynfield Rd, West Friendship, MD 21794-9519 | 2007-09-26 |
| 1891198453 | Alydan, LLC | Clinic/Center | 13125 Fox Path Ln, West Friendship, MD 21794-9536 | 2014-09-26 |
| 1023569787 | Wendy Blackston | Pharmacist | 3101 Fox Valley Dr, West Friendship, MD 21794-9543 | 2016-10-18 |
| 1639647779 | Katie Besche | Social Worker | 12800 Frederick Rd Ste 201, West Friendship, MD 21794-9564 | 2018-11-07 |
| 1801920129 | Thomas J Fenlon | Dentist | 12800 Frederick Rd, Suite 102, West Friendship, MD 21794-9564 | 2007-03-16 |
| 1548638430 | Tom Fenlon Dds PC | Durable Medical Equipment & Medical Supplies | 12800 Frederick Rd, Suite 102, West Friendship, MD 21794-9564 | 2015-09-09 |
| Find all providers in zip 21794 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1184245045 | Comfort Primary Care | Clinic/Center | 9966 Royal Commerce Pl, Upper Marlboro, MD 20774-1163 | 2020-05-01 |
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
| 1629606454 | Advanced Primary Care | Clinic/Center | 525 Eastern Ave # B2, Fairmount Heights, MD 20743-1677 | 2020-03-28 |
| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST FRIENDSHIP |
| Zip Code | 21794 |
Please comment or provide details below to improve the information on PRIME CARE HOUSE CALLS PC.
| 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.