MIN JEONG JEON (NPI# 1760843049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760843049 |
| Entity Type | Individual |
| Full Name | MIN JEONG JEON |
| Credential | CPNP-PC |
| Practice Address |
3500 Old Washington Rd Suite 101 Waldorf MD 20602-3224 |
| Practice Telephone | 3016451133 |
| Mailing Telephone | 3016451133 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.401394 | OH | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | R212891 | MD | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R212891 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3500 OLD WASHINGTON RD SUITE 101 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992017 | Nelson Aderemi Alawode | Obstetrics & Gynecology | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602-3224 | 2005-09-14 |
| 1740842475 | Ashley C Siemonh | Registered Nurse | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602 | 2019-07-02 |
| 1164812145 | Sarah Kimball | Nurse Practitioner | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2015-01-29 |
| 1457797151 | Dental One Associates Waldorf LLC | Dentist | 3500 Old Washington Rd, 301, Waldorf, MD 20602-3224 | 2013-05-21 |
| 1649555491 | Margaret C Summers | Physician Assistant | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2011-10-12 |
| 1386949246 | Cambridge Womens Ambulatory Surgery Center, L.L.C. | Clinic/Center | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602-3224 | 2011-01-24 |
| 1831493022 | Don J. Fontana, M.d. Pa | Plastic Surgery | 3500 Old Washington Rd, Suite 201, Waldorf, MD 20602-3238 | 2011-01-01 |
| 1235431248 | Cambridge Cancer & Infusion Center LLC | Internal Medicine | 3500 Old Washington Rd, Ste 102, Waldorf, MD 20602-3224 | 2010-11-23 |
| 1164677621 | Jay G Browne | Dentist | 3500 Old Washington Rd, #204, Waldorf, MD 20602-3224 | 2008-11-25 |
| 1619164142 | Neurology Office, PC | Family Medicine | 3500 Old Washington Rd, Suite 202, Waldorf, MD 20602-3224 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1225552219 | Erin Sobek | Nurse Practitioner | 11315 Pembrooke Sq Ste 110, Waldorf, MD 20603-4806 | 2017-08-01 |
| 1164812145 | Sarah Kimball | Nurse Practitioner | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2015-01-29 |
| 1356776678 | Alita-geri Kiana Smith | Nurse Practitioner | 6 Post Office Rd, Ste. 102, Waldorf, MD 20602-2746 | 2013-09-05 |
| 1750421392 | Cynthia Landrum-tsu | Nurse Practitioner | 3500 Old Washington Rd, Suite 101, Waldorf, MD 20602-3224 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1699234393 | Stacey Lyn Williams | Nurse Practitioner | 1122 Gypsy Ln W, Towson, MD 21286-1404 | 2019-03-13 |
| 1386110666 | Caroline Van Voorhis | Nurse Practitioner | 18310 Montgomery Village Ave Ste 460, Gaithersburg, MD 20879-3565 | 2018-10-15 |
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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.