DR. ABIMBOLA A RUNSEWE (NPI# 1760789507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760789507 |
| Entity Type | Individual |
| Full Name | DR. ABIMBOLA A RUNSEWE |
| Credential | DNP, PMHNP |
| Practice Address |
610 Professional Dr Gaithersburg MD 20879-3413 |
| Mailing Address |
3608 Milford Mill Rd Windsor Mill MD 21244-3328 |
| Practice Telephone | 2406836202 |
| Practice Fax Number | 2406836203 |
| Mailing Telephone | 4432727858 |
| Mailing Fax Number | 4434057237 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R176584 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3608 Milford Mill Rd, Windsor Mill, MD 212443328 | 4432727858 | 4434057237 |
| Street Address |
610 PROFESSIONAL DR |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950031 | Narayanan Ramesh | Psychiatry & Neurology | 610 Professional Dr, Ste 255, Gaithersburg, MD 20879-3413 | 2005-05-27 |
| 1841804184 | Jessica Anne Metzner | Social Worker | 610 Professional Dr, Gaithersburg, MD 20879-3413 | 2020-09-03 |
| 1174064232 | Marley Jerome-featherson | Counselor | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3413 | 2017-03-09 |
| 1881139954 | Comprehensive Medical Care & Walk In Clinic, LLC | Clinic/Center | 610 Professional Dr, Suite # 235, Gaithersburg, MD 20879-3413 | 2016-12-28 |
| 1558747832 | Jacqueline Nicole Trombley | Social Worker | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879 | 2015-08-10 |
| 1609254903 | Emily Margaret Weschler | Social Worker | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879-3413 | 2015-05-07 |
| 1992103816 | James Earnest Skinner | Social Worker | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879 | 2014-12-09 |
| 1962800805 | Sumati Holman | Social Worker | 610 Professional Dr, Gaithersburg, MD 20879 | 2014-12-09 |
| 1598177420 | Karin M Senft | Social Worker | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879 | 2014-05-27 |
| 1821408253 | Darlene Renee Mack | Social Worker | 610 Professional Dr, Suite 255, Gaithersburg, MD 20879 | 2014-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478011 | Bridget Pieroni | Nurse Practitioner | 24912 Silver Crest Dr, Gaithersburg, MD 20882-3627 | 2020-02-11 |
| 1154961381 | Kristin Marie Clemens | Nurse Practitioner | 800 S Frederick Ave Ste 200a, Gaithersburg, MD 20877-4152 | 2020-01-15 |
| 1437579752 | Sherry Ann Mcatee | Nurse Practitioner | 15932 Shady Grove Rd, Gaithersburg, MD 20877-1313 | 2014-04-25 |
| 1881215580 | Right Solutions Mental Health LLC | Nurse Practitioner | 800 S Frederick Ave Ste 200a, Gaithersburg, MD 20877-4152 | 2020-05-04 |
| 1659911022 | Yvonne Nacion Swann | Nurse Practitioner | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2020-01-13 |
| 1851709448 | Erin Torres | Nurse Practitioner | 9055 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2014-07-27 |
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| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
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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.