METROPOLITAN FAMILY PRACTICE, LLC (NPI# 1679751473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679751473 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN FAMILY PRACTICE, LLC |
| Practice Address |
3450 Fort Meade Rd Suite 109 Laurel MD 20724-2040 |
| Practice Telephone | 3013178660 |
| Practice Fax Number | 3013178663 |
| Mailing Telephone | 3013178660 |
| Mailing Fax Number | 3013178663 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | DR. GERREN SHINAR PERRY-FABRIZIO (OWNER) |
| Authorized Official Telephone | 3013178660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D059182 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 024205501 | 05 |
| Street Address |
3450 FORT MEADE RD SUITE 109 |
| City | LAUREL |
| State | MD |
| Zip Code | 20724-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682765 | Sujata Qasba | Pediatrics | 3450 Fort Meade Rd, Suite #103, Laurel, MD 20724-2040 | 2005-07-13 |
| 1003071770 | Family Podiatry of Dc | Durable Medical Equipment & Medical Supplies | 3450 Fort Meade Rd, Suite 210, Laurel, MD 20724-2040 | 2008-07-22 |
| 1982866455 | Sheep Gate Christian Counseling Center, LLC | Counselor | 3450 Fort Meade Rd, 105, Laurel, MD 20724-2040 | 2008-06-26 |
| 1508067398 | Tanveer A Padder | Psychologist | 3450 Fort Meade Rd, Suite100, Laurel, MD 20724-2040 | 2007-05-30 |
| 1669687109 | Sabina F Coronado | Psychologist | 3450 Fort Meade Rd, Suite 110, Laurel, MD 20724-2040 | 2007-05-10 |
| 1013070762 | Ronald Geoffrey Havelock | Optometrist | 3450 Fort Meade Rd, Laurel Professional Bld. Ste 104, Laurel, MD 20724-2040 | 2006-12-17 |
| 1336245323 | Michael N Baako | Internal Medicine | 3450 Fort Meade Rd, Suite 209, Laurel, MD 20724-2040 | 2006-09-16 |
| 1356328116 | Gerren Shinar Perry-fabrizio | Family Medicine | 3450 Fort Meade Rd, Suite 109, Laurel, MD 20724 | 2005-12-22 |
| 1144210816 | Saideh Tehrani | Dentist | 3450 Fort Meade Rd, Suite 202, Laurel, MD 20724 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1619456720 | Franklin F Cho Tumasang | Home Health Aide | 8085 Pennington Dr, Laurel, MD 20724 | 2018-08-09 |
| 1134622871 | Alberta Derkyi | Nurse Practitioner | 3404 Bitterwood Place, #i003, Laurel, MD 20724 | 2018-03-08 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1245752625 | Ngwe Ernestine Ndikum | Home Health Aide | 3573 Fort Meade Road Apt 512, Laurel, MD 20724 | 2017-07-07 |
| 1063943496 | Jennifer Nowell | Counselor | 3407 Holly Creek Drive Apt 1a, Laurel, MD 20724 | 2017-03-27 |
| 1912369315 | Josiane Kameni Sahok | Home Health Aide | 8057 Ians Alley, Laurel, MD 20724 | 2016-03-24 |
| 1851641955 | Kelvinda Kamara | Nurse Practitioner | 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 | 2012-09-16 |
| 1164787578 | Kaday Jalloh | Home Health Aide | 8605 Woodland Manor Drive, Laurel, MD 20724 | 2012-07-11 |
| Find all providers in zip 20724 | ||||
| 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 |
|---|---|---|---|---|
| 1407499452 | Julius Atemafac | Family Medicine | 13944 Baltimore Ave Ste 102, Laurel, MD 20707-5000 | 2019-10-22 |
| 1679050462 | Nicole K Dennis | Family Medicine | 9260 Canterbury Riding, Laurel, MD 20723-1425 | 2018-07-24 |
| 1073051892 | Carol Richardson | Family Medicine | 103 S 12th Ave, Laurel, MS 39440-4322 | 2017-02-01 |
| 1558713511 | Calhoun Medical Clinic, LLC | Family Medicine | 5135 Hwy 84w, Laurel, MS 39443 | 2016-07-01 |
| 1700215399 | Komal A Malik, Md, PC | Family Medicine | 8315 Cherry Ln, Laurel, MD 20707-4830 | 2013-11-05 |
| 1982998209 | Sarah Zaheer | Family Medicine | Centennial Medical Group, 10981 Johns Hopkins Road, Laurel, MD 20723 | 2011-06-03 |
| 1073832044 | Kaveh Sadeghi | Family Medicine | 14113 Baltimore Ave Ste A, Laurel, MD 20707 | 2010-05-28 |
| 1730339995 | Komal A. Malik | Family Medicine | 8315 Cherry Lane, Laurel, MD 20707 | 2008-09-24 |
| 1427218577 | Samuel J. Recob | Family Medicine | 218 E 2nd St, Laurel, NE 68745-1989 | 2008-06-12 |
| 1730204256 | Joyce E. Stout, Md, Pa | Family Medicine | 116 E Front St Ste C, Laurel, DE 19956-1722 | 2007-03-21 |
| Find all providers in LAUREL | ||||
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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.