EDGE PEDIATRIC LLC


Address: 7500 Hanover Pkwy Ste 203, Greenbelt, MD 20770-2009
Phone: 3018957337

EDGE PEDIATRIC LLC (NPI# 1720625379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720625379
Entity Type Organization
Organization Name EDGE PEDIATRIC LLC
Practice Address 7500 Hanover Pkwy Ste 203
Greenbelt
MD 20770-2009
Mailing Address Po Box 345
Lanham
MD 20703-0345
Practice Telephone 3018957337
Enumeration Date 2019-12-03
Last Update Date 2019-12-20
Authorized Official Name OBINNA EGO-OSUALA (PHYSICIAN)
Authorized Official Telephone 2405015797
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 532153100 05

Office Location

Street Address 7500 HANOVER PKWY STE 203
City GREENBELT
State MD
Zip Code 20770-2009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841805405 Caring Hands Medical Clinic LLC Nurse Practitioner 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 2020-09-10
1770107203 Jeannette Nicole Welds Social Worker 7710-303 Hanover Parkway, Greenbelt, MD 20770 2020-06-01
1063032597 Victory Clinical Research Specialist 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 2020-04-24
1336793884 Yan Chen Physician Assistant 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 2019-08-01
1245884519 Antonio Moody Counselor 7474 Greenbelt Center Drive, Greenbelt, MD 20770 2019-07-25
1881166494 Jeniece Edwina Weddington Speech-Language Pathologist Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 2018-12-20
1043797996 Thomas Mesumbe Home Health Aide 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 2018-07-24
1063914554 Zainab Anita Foday Home Health Aide 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 2018-03-01
1619479193 Nancy Benga Home Health Aide 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 2018-03-01
1912407891 Adoni Healthcare Services, LLC Clinic/Center 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 2018-02-16
Find all providers in zip 20770

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578035135 Gwendolyn V Youngblood, Md, PC Pediatrics 7525 Greenway Center Dr Ste 311, Greenbelt, MD 20770-3525 2018-12-20
1548382815 Angela Maria Hubbard Pediatrics 7525 Greenway Center Dr Ste 110, Greenbelt, MD 20770-3525 2007-04-06
1275694473 Danita Lorraine Tucker-powell Pediatrics 7525 Greenway Center Drive Suite 110, Greenbelt, MD 20770 2006-12-12
1255424362 Greenbelt Pediatrics Pediatrics 7313 B Hanover Parkway, Greenbelt, MD 20770 2006-10-02
1396779476 Polachirackal K Alex Pediatrics 7231 Hanover Pkwy Ste A, Greenbelt, MD 20770-2027 2006-07-11
1467490094 Markos Yibas Pediatrics 7313 Hanover Pkwy Ste B, Greenbelt, MD 20770-3668 2006-06-04
1336675248 Carrie Golitko Pediatrics 7401 Greenbelt Rd, Pm Pediatrics, Greenbelt, MD 20770-3402 2017-05-11
1942657200 Hamna Rashid Pediatrics 7401 Greenbelt Rd, Greenbelt, MD 20770-3402 2016-05-17
1588025142 J Frank LLC Pediatrics 7500 Hanover Pkwy Ste 202, Greenbelt, MD 20770-2009 2016-03-10
1265792519 Kendra Mcdow Pediatrics 9220 Springhill Ln, Greenbelt, MD 20770-1203 2012-05-21
Find all providers in GREENBELT

Competitor

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City GREENBELT
Zip Code 20770

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Dataset Information

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.

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