MRS. MESKEREM ASRESAHEGN (NPI# 1588724009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588724009 |
| Entity Type | Individual |
| Full Name | MRS. MESKEREM ASRESAHEGN |
| Credential | M.D. |
| Practice Address |
1400 Mercantile Ln Suite 180 Largo MD 20774-5341 |
| Mailing Address |
15905 Willis Way Woodbine MD 21797-7521 |
| Practice Telephone | 3019257022 |
| Practice Fax Number | 3019254463 |
| Mailing Telephone | 3017047554 |
| Mailing Fax Number | 3019254463 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | D0053772 | MD | Ambulatory Health Care Facilities |
| Street Address |
1400 MERCANTILE LN SUITE 180 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596690 | Barbara Christine Williamson | Dermatology | 1400 Mercantile Ln, Ste#110, Largo, MD 20774-5341 | 2005-08-28 |
| 1699229021 | Growth Connections LLC | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-08-15 |
| 1164884151 | Shirelle Wright | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-03-28 |
| 1003214891 | Livin' The Light, LLC | Case Manager/Care Coordinator | 1400 Mercantile Ln, Suite 208, Largo, MD 20774-5341 | 2014-12-11 |
| 1669716395 | Visage Dermatology and Aesthetic Center, LLC | Dermatology | 1400 Mercantile Ln, Suite 110, Largo, MD 20774-5341 | 2012-11-19 |
| 1265709364 | Emery Jefferies | Counselor | 1400 Mercantile Ln, #232, Largo, MD 20774-5341 | 2011-11-17 |
| 1831485911 | Timothy Pass | Clinic/Center | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-06-27 |
| 1972897767 | Linda Uwanaka Ebonine | Physician Assistant | 1400 Mercantile Ln, Suite 200, Largo, MD 20774-5341 | 2011-06-08 |
| 1184916975 | Patrice Amos Brown | Occupational Therapist | 1400 Mercantile Ln, 240, Largo, MD 20774-5341 | 2011-05-11 |
| 1467751289 | Yvonne D Loftin-woodard | Social Worker | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1942462049 | Community Counseling & Mentoring Services,inc | Clinic/Center | 1400 Mercantile Ln Ste 232, Largo, MD 20774-5353 | 2008-06-30 |
| 1629075874 | Indian Rocks Medical Center Inc | Clinic/Center | 12685 Ulmerton Rd, Largo, FL 33774-3603 | 2005-07-01 |
| 1588151906 | Carrie Shulman Md LLC | Clinic/Center | 13121 66th St, Largo, FL 33773-1812 | 2018-04-20 |
| 1962805762 | Rediclinic of Md, LLC | Clinic/Center | 9810 Apollo Dr, Largo, MD 20774-4824 | 2014-10-07 |
| 1902178395 | J. Michael Stolley, D.c., P.a. | Clinic/Center | 12122 Seminole Blvd, Largo, FL 33778-2833 | 2012-02-01 |
| 1396808705 | Asresahgn M Getachew | Clinic/Center | 1400 Mercantile Ln, Suite 180, Largo, MD 20774-5341 | 2006-12-18 |
| 1306881057 | Community Counseling & Mentoring Services, Inc | Clinic/Center | 1300 Mercantile Ln, Suite 208, Largo, MD 20774-5327 | 2006-06-17 |
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| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1801494810 | Hd Telecommunications LLC | Clinic/Center | 1280 Wesel Blvd Ste C, Hagerstown, MD 21740-5378 | 2020-10-12 |
| 1679180327 | People Inspiring People | Clinic/Center | 3407 Tewkesbury Rd, Abingdon, MD 21009-1095 | 2020-09-28 |
| 1417563883 | Healthy Generations Comprehensive Care LLC | Clinic/Center | 7850 Rossville Blvd Ste 210, Nottingham, MD 21236-3934 | 2020-09-21 |
| 1093328148 | Cerner Health Connections, Inc | Clinic/Center | 15045 Burnt Store Rd, Hughesville, MD 20637-2699 | 2020-08-28 |
| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
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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.