PEDIATRIC CARE OF ROCKVILLE PA (NPI# 1811453020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811453020 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE OF ROCKVILLE PA |
| Other Organization Name | PEDIATRIC CARE OF ROCKVILLE |
| Practice Address |
1201 Seven Locks Rd Ste 201 Rockville MD 20854-2963 |
| Practice Telephone | 3018817995 |
| Practice Fax Number | 3018818451 |
| Mailing Telephone | 3018817995 |
| Mailing Fax Number | 3018818451 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MR. MICHAEL JONES (ADMINISTRATOR) |
| Authorized Official Telephone | 3018817995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 147151100 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Care of Rockville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184730509 | Pediatric Care of Rockville Pa | Pediatrics | 1201 Seven Locks Rd Ste 201, Rockville, MD 20854-2963 | 2006-08-21 |
| Street Address |
1201 SEVEN LOCKS RD STE 201 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20854-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184730509 | Pediatric Care of Rockville Pa | Pediatrics | 1201 Seven Locks Rd Ste 201, Rockville, MD 20854-2963 | 2006-08-21 |
| 1073923132 | Mallory Lostumbo | Pediatrics | 1201 Seven Locks Rd Ste 201, Rockville, MD 20854-2963 | 2014-04-29 |
| 1144596891 | Nicole Woodard Uliassi | Pediatrics | 1201 Seven Locks Rd Ste 201, Rockville, MD 20854-2963 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| 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 |
|---|---|---|---|---|
| 1225100126 | Tatiana A Pavlova Greenfield | Pediatrics | 1369 Templeton Pl, Rockville, MD 20852-1433 | 2006-11-15 |
| 1013951300 | Avril M Houston | Pediatrics | 5600 Fishers Lane, Rockville, MD 20857 | 2006-06-16 |
| 1174840201 | Trina Menden Anglin | Pediatrics | 5600 Fishers Ln, Room 18a-39, Rockville, MD 20852-1750 | 2010-04-29 |
| 1639202997 | Abdow Friendship Pediatrics PC | Pediatrics | 11125 Rockville Pike, Suite # 307, Rockville, MD 20852-3142 | 2007-03-14 |
| 1669414769 | Raymond Hugh Coleman | Pediatrics | 11119 Rockville Pike, Suite 310, Rockville, MD 20852-3143 | 2006-06-12 |
| 1386699247 | Mallika Umamaheswaran | Pediatrics | 9850 Key West Ave, Suite 312, Rockville, MD 20850-3960 | 2006-05-22 |
| 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.