CECIL COUNTY PEDIATRICS (NPI# 1780639096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780639096 |
| Entity Type | Organization |
| Organization Name | CECIL COUNTY PEDIATRICS |
| Practice Address |
103 E Main St Elkton MD 21921-5906 |
| Practice Telephone | 4103982700 |
| Practice Fax Number | 4106201249 |
| Mailing Telephone | 4103982700 |
| Mailing Fax Number | 4106201249 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DDONG HEE PARK (PRESIDENT) |
| Authorized Official Telephone | 4103982700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
103 E MAIN ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285626887 | Dong Hee Park | Specialist | 103 E Main St, Elkton, MD 21921-5906 | 2005-08-19 |
| 1215253935 | Khan Pediatrics Inc | Pediatrics | 103 E Main St, Khan Pediatrics Inc., Elkton, MD 21921-5906 | 2010-04-20 |
| 1639113285 | Mohammad Ali Khan | Emergency Medicine | 103 E Main St, Elkton, MD 21921-5906 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1821621707 | Montgomery County Maryland Government | Pediatrics | 19401 Crystal Rock Dr, Germantown, MD 20874-1593 | 2020-02-19 |
| 1386191419 | Ganesan,jhansi R. Md, PC | Pediatrics | 8355 Cherry Ln, Laurel, MD 20707-4829 | 2016-09-07 |
| 1346582244 | Katherine Maureen Carlin | Pediatrics | Johns Hopkins School of Medicine, 733 North Broadway, Suite 147, Baltimore, MD 21205-2196 | 2013-03-19 |
| 1316286032 | Prime Pediatrics, LLC | Pediatrics | 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878-1676 | 2013-02-01 |
| 1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
| 1013123876 | Janet V Johnson | Pediatrics | 3311 Toledo Ter Ste C201, Hyattsville, MD 20782-8148 | 2007-05-15 |
| 1366573784 | Shelley Jane Parr | Pediatrics | University Health Ctr, Bldg. 140, College Park, MD 20742-4711 | 2007-03-08 |
| 1528198652 | Cheryl Lynn Parks | Pediatrics | 3527 N Rolling Rd, Suite 1, Baltimore, MD 21244-2223 | 2007-03-07 |
| 1265563001 | Sacared Bodison | Pediatrics | University Health Center - University of Maryland, Building 140, College Park, MD 20742 | 2007-03-07 |
| 1851433965 | Karakat S & Indira V Gokulanathan Ptr | Pediatrics | 9470 Annapolis Rd Ste 311, Lanham, MD 20706-3022 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
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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.