FAMILY MEDICINE SHADY GROVE (NPI# 1588093371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588093371 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE SHADY GROVE |
| Other Organization Name | FAMILY MEDICINE SHADY GROVE, LLC |
| Practice Address |
15215 Shady Grove Rd Ste 304 Rockville MD 20850-0200 |
| Practice Telephone | 3012848990 |
| Practice Fax Number | 3015694293 |
| Mailing Telephone | 3012848990 |
| Mailing Fax Number | 3015694293 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | DR. MANISHA KALRA (PHYSICIAN) |
| Authorized Official Telephone | 3012848990 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0073851 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Medicine Shady Grove, LLC | Doing Business As Name - Organization |
| Street Address |
15215 SHADY GROVE RD STE 304 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255468 | Manisha Kalra | Family Medicine | 15215 Shady Grove Rd Ste 304, Rockville, MD 20850-0200 | 2006-05-23 |
| 1497221030 | Audrey Anne Gross | Family Medicine | 15215 Shady Grove Rd Ste 304, Rockville, MD 20850 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727401 | C Abreu Healthcare LLC | Family Medicine | 50 W Edmonston Dr Ste 202, Rockville, MD 20852-1249 | 2018-07-22 |
| 1083063119 | Hua-chuan Sim | Family Medicine | 10960 Bloomingdale Dr, Rockville, MD 20852-5550 | 2016-06-09 |
| 1114373107 | Alisha Tuteja | Family Medicine | 9715 Medical Center Dr Ste 414, Rockville, MD 20850-6310 | 2016-05-09 |
| 1548616931 | Mohammad Darbandi | Family Medicine | 14812 Physicians Lane, 162, Rockville, MD 20850-2085 | 2016-05-04 |
| 1407261704 | Charles Ayowole Olaleye | Family Medicine | 2101 E Jefferson St Ste 6wppqa, Rockville, MD 20852-4908 | 2014-06-25 |
| 1316209596 | Wilhelmina G.camina, Md,pa | Family Medicine | 4912 Adrian Street, Rockville, MD 20853-3106 | 2012-06-13 |
| 1427345669 | Union Hospital, Inc. | Family Medicine | 727 No. Lincoln Rd, Union Hospital Inc. D/b/a Rockville Family Medicine, Rockville, IN 47872-1117 | 2011-07-08 |
| 1376784876 | Macaya Julie Douoguih | Family Medicine | 1405 Research Blvd, Ste 300, Rockville, MD 20850-3108 | 2009-03-12 |
| 1922247519 | Bernard Aloysius Fitzgerald | Family Medicine | 14511 Faraday Drive, Rockville, MD 20853-1941 | 2009-02-05 |
| 1134367139 | Allison Win | Family Medicine | 2401 Research Blvd Ste 102, Rockville, MD 20850-3215 | 2009-01-28 |
| Find all providers in ROCKVILLE | ||||
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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.