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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 532153100 | 05 |
Street Address |
7500 HANOVER PKWY STE 203 |
City | GREENBELT |
State | MD |
Zip Code | 20770-2009 |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
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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.