FOUNDATION MEDICAL CLINIC (NPI# 1841602877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841602877 |
| Entity Type | Organization |
| Organization Name | FOUNDATION MEDICAL CLINIC |
| Practice Address |
808 Landmark Dr Suite 116 Glen Burnie MD 21061-4983 |
| Mailing Address |
420 Crain Hwy S Suite 3 Glen Burnie MD 21061-3657 |
| Practice Telephone | 4107604500 |
| Practice Fax Number | 4107615035 |
| Mailing Telephone | 4107604500 |
| Mailing Fax Number | 4107615035 |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | MRS. PATRICIA CHIOMA NWAOGBO (OFFICE MANAGER) |
| Authorized Official Telephone | 4107604500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0063277 | MD | Ambulatory Health Care Facilities |
| Street Address |
808 LANDMARK DR SUITE 116 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258876 | Gerard Lowder | Internal Medicine | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2005-07-11 |
| 1649631490 | Siga Vaskys | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2016-03-08 |
| 1639557010 | Heather Spoon | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2015-05-18 |
| 1205255122 | Nancy Cooper | Dietitian, Registered | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2014-04-08 |
| 1811335292 | Sharon Marie Kennedy | Dietitian, Registered | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2013-06-07 |
| 1245597616 | Foot & Ankle Center of Maryland, LLC | Podiatrist | 808 Landmark Dr, Suite 225, Glen Burnie, MD 21061-4983 | 2012-04-23 |
| 1073806717 | Hormone Replacement Clilnic | Specialist | 808 Landmark Dr, Suite 116, Glen Burnie, MD 21061-4983 | 2011-05-26 |
| 1346482304 | Lauren Michelle Maragh | Internal Medicine | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2009-04-06 |
| 1578730479 | Marguerite A Downs | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2008-05-12 |
| 1841334240 | Nadia Chaudhri | Internal Medicine | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2007-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718376 | Comforting Seniors LLC | Clinic/Center | 375 Valiant Cir, Glen Burnie, MD 21061-6135 | 2019-06-12 |
| 1003112210 | Ines Maria Vigil | Clinic/Center | 6701 Curtis Ct, Glen Burnie, MD 21060-6405 | 2011-02-04 |
| 1750562898 | Ambi Physician PC | Clinic/Center | 7485 Oakwood Rd, 103, Glen Burnie, MD 21061 | 2007-11-16 |
| 1912543026 | Primal Health Clinic LLC | Clinic/Center | 7836 Oakwood Rd, Glen Burnie, MD 21061-4298 | 2019-11-24 |
| 1669912259 | Work Life Primary Care LLC | Clinic/Center | 7954 Baltimore Annapolis Blvd, Suite 2-c, Glen Burnie, MD 21060-8188 | 2017-03-01 |
| 1780087858 | Petro Health LLC | Clinic/Center | 1403 Madison Park Dr, Suite 200, Glen Burnie, MD 21061-6189 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552219 | Premier Medical Care, LLC | Clinic/Center | 19735 Germantown Rd Ste 280, Germantown, MD 20874-1215 | 2020-09-09 |
| 1982226023 | Complete Access Care, LLC | Clinic/Center | 1035 Ingleside Ave, Catonsville, MD 21228-1318 | 2020-05-12 |
| 1184245045 | Comfort Primary Care | Clinic/Center | 9966 Royal Commerce Pl, Upper Marlboro, MD 20774-1163 | 2020-05-01 |
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
| 1629606454 | Advanced Primary Care | Clinic/Center | 525 Eastern Ave # B2, Fairmount Heights, MD 20743-1677 | 2020-03-28 |
| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on FOUNDATION MEDICAL CLINIC.
| 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.