COMPREHENSIVE ALLERGY AND ASTHMA CARE CENTER, LLC (NPI# 1619301439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619301439 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE ALLERGY AND ASTHMA CARE CENTER, LLC |
| Practice Address |
12164 Central Ave Suite 225 Mitchellville MD 20721-1944 |
| Practice Telephone | 2402069601 |
| Practice Fax Number | 2402069072 |
| Mailing Telephone | 2402069601 |
| Mailing Fax Number | 2402069072 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-10-15 |
| Authorized Official Name | DR. TARYN R RICHARDSON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2402069601 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D0068780 | MD | Ambulatory Health Care Facilities |
| Street Address |
12164 CENTRAL AVE SUITE 225 |
| City | MITCHELLVILLE |
| State | MD |
| Zip Code | 20721-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912934571 | Issa Yusuf | Internal Medicine | 12164 Central Ave, Suite #223, Mitchellville, MD 20721-1944 | 2006-06-27 |
| 1417318452 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 12164 Central Ave, Suite 212, Mitchellville, MD 20721-1944 | 2016-03-18 |
| 1578877213 | Tender Touch Dental Care, LLC | Dentist | 12164 Central Ave, Suite 218, Mitchellville, MD 20721-1944 | 2010-08-05 |
| 1568620367 | Cherie Monique Young | Internal Medicine | 12164 Central Ave, Suite 225, Mitchellville, MD 20721-1944 | 2008-05-28 |
| 1639345572 | Chioma N Imo | Dentist | 12164 Central Ave, Suite 218, Mitchellville, MD 20721-1944 | 2008-04-30 |
| 1437348463 | Krystal Veronica Richardson | Nurse Practitioner | 12164 Central Ave, Suite 227-a, Mitchellville, MD 20721-1944 | 2007-10-16 |
| 1386842128 | Sonia E Martin Samuels | Dentist | 12164 Central Ave, Suite 218, Mitchellville, MD 20721 | 2007-07-03 |
| 1437360096 | Capital Family Dental Center PC | Dentist | 12164 Central Ave, Suite 218, Mitchellville, MD 20721 | 2007-05-25 |
| 1023230356 | Sonya R Worthy- Okolo | Physical Therapist | 12164 Central Ave, Suite 212, Mitchellville, MD 20721-1944 | 2007-05-03 |
| 1558585869 | Issa Yusuf Md Pa | Internal Medicine | 12164 Central Ave, Suite 223, Mitchellville, MD 20721-1944 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1104383975 | Alpha Gi Care, PC | Clinic/Center | 7247 Hanover Pkwy Ste A, Greenbelt, MD 20770-3661 | 2019-02-27 |
| 1417430117 | Emily Clarke-pearson, Md, PC | Clinic/Center | 949 Fell St Ste B, Baltimore, MD 21231-3505 | 2018-09-10 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1063958213 | Medsultants | Clinic/Center | 10317 Kingsway Ct, Ellicott City, MD 21042-5802 | 2017-01-12 |
| 1124564703 | Fall Prevention and Stroke Rehab Physician, LLC | Clinic/Center | 2701 Jeremy Ct Apt E, Baltimore, MD 21209-3062 | 2017-01-06 |
| 1851747885 | Kempannasudhakar,md,pc | Clinic/Center | 7610 Carroll Ave Ste 230, Takoma Park, MD 20912-6312 | 2016-05-09 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| Find all providers with the same taxonomy | ||||
| City | MITCHELLVILLE |
| Zip Code | 20721 |
Please comment or provide details below to improve the information on COMPREHENSIVE ALLERGY AND ASTHMA CARE CENTER, LLC.
| 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.