IVY SUE MASSERMAN (NPI# 1821102450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821102450 |
| Entity Type | Individual |
| Full Name | IVY SUE MASSERMAN |
| Credential | M.D. |
| Practice Address |
2401 Blueridge Ave Wheaton MD 20902-4517 |
| Practice Telephone | 3019336440 |
| Practice Fax Number | 3019335923 |
| Mailing Telephone | 3019336440 |
| Mailing Fax Number | 3019335923 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D39455 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 561161200 | 05 |
| Street Address |
2401 BLUERIDGE AVE |
| City | WHEATON |
| State | MD |
| Zip Code | 20902-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316921372 | Ann Starchman | Pediatrics | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2005-12-02 |
| 1295921534 | Pediatric Associates | Clinic/Center | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2007-09-20 |
| 1275733396 | Jennifer Sue Buchanan | Pediatrics | 2401 Blueridge Ave, #210, Wheaton, MD 20902-4517 | 2007-07-18 |
| 1689872327 | Noel Vetticad Pesce | Pediatrics | 2401 Blueridge Ave, Wheaton, MD 20902-4517 | 2007-07-03 |
| 1225175557 | Terisa Lynn Foster Flick | Pediatrics | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2007-01-30 |
| 1831157635 | Geri Lindberg Hoggard | Nurse Practitioner | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2006-05-02 |
| 1528029055 | Samuel Harris Leibowitz | Pediatrics | 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902-4517 | 2006-04-02 |
| 1912968082 | Henry Shunju Sakai | Pediatrics | 2401 Blueridge Ave, Suite 200, Wheaton, MD 20902-4517 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| 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 |
|---|---|---|---|---|
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1912266768 | Susan Elizabeth Tucker | Pediatrics | 2001 N Gary Ave Ste 240, Wheaton, IL 60187 | 2012-05-15 |
| 1871814186 | Jessica Lynn Howard | Pediatrics | 2401 Blueridge Ave Fl 2, Wheaton, MD 20902-4517 | 2010-06-21 |
| 1558504142 | Lubna Qazi Abdullah | Pediatrics | 290 W Loop Rd, Wheaton, IL 60189-2034 | 2009-04-12 |
| 1851430482 | Sabrina Hasin Zubair | Pediatrics | 2001 N Gary Ave Ste 110, Wheaton, IL 60187-3055 | 2007-02-06 |
| 1760545263 | Janet Greenman | Pediatrics | 1465 N Carlton St, Wheaton, IL 60187-3417 | 2006-12-18 |
| 1659489938 | Deborah Erin Engel | Pediatrics | 2401 Blueridge Avenue, Wheaton, MD 20902 | 2006-08-28 |
| 1760400592 | Kim J Gehle | Pediatrics | 2001 N Gary Ave Ste 100, Wheaton, IL 60187-3055 | 2006-07-18 |
| 1023048873 | Earlene Jordan | Pediatrics | 2401 Blueridge Ave Ste 210, Wheaton, MD 20902-4517 | 2006-07-04 |
| Find all providers in WHEATON | ||||
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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.