DR. GEORGE H WATHEN (NPI# 1861453284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861453284 |
| Entity Type | Individual |
| Full Name | DR. GEORGE H WATHEN |
| Credential | MD PA |
| Practice Address |
11345 Pembrooke Sq Suite 103 Waldorf MD 20603-4804 |
| Mailing Address |
11345 Pembrooke Sq Ste 103 Waldorf MD 20603-4804 |
| Practice Telephone | 3016458144 |
| Practice Fax Number | 3018708392 |
| Mailing Telephone | 3016458144 |
| Mailing Fax Number | 3018708392 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2008-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D0020629 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 110128523 | 01 | |
| MD | 326971000 | 05 |
| Street Address |
11345 PEMBROOKE SQ SUITE 103 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163514 | Frederick J Sauerburger | Ophthalmology | 11345 Pembrooke Sq, Ste 105, Waldorf, MD 20603-4804 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679093561 | Monimils LLC | Internal Medicine | 605 Post Office Rd Ste 101, Waldorf, MD 20602-1913 | 2017-06-22 |
| 1457641607 | Hb Medical & Wellness Speciality Services, LLC | Internal Medicine | 2391 Tacoma Pl, Waldorf, MD 20603-3853 | 2011-04-08 |
| 1043548464 | Nalin Mathur Md Pa | Internal Medicine | 11855 Holly Ln Ste 107, Waldorf, MD 20601-3114 | 2009-11-23 |
| 1134297450 | Nirmaladevi Jayanthan | Internal Medicine | 3328 Old Washington Rd, Waldorf, MD 20602 | 2006-12-04 |
| 1306910716 | Annette Carey Gonsalves | Internal Medicine | 6 Post Office Rd, Suite 100, Waldorf, MD 20602-2746 | 2006-11-17 |
| 1336241272 | Gerard Santos | Internal Medicine | 3575 Old Washington Rd Ste C, Waldorf, MD 20602-3269 | 2006-09-01 |
| 1023125218 | Zafar Abulhasan Ansari | Internal Medicine | 7 Post Office Rd Ste E, Waldorf, MD 20602-2744 | 2006-08-24 |
| 1306814462 | Louis V Kaufman | Internal Medicine | 12070 Old Line Centre, #207, Waldorf, MD 20602-2567 | 2006-03-14 |
| 1942279039 | Philip Wisotsky M.d., P.C. | Internal Medicine | 12070 Old Line Centre #207, Waldorf, MD 20602-2567 | 2006-03-14 |
| 1164415832 | Linda Jefferson | Internal Medicine | 2670 Crain Hwy, Suite 410, Waldorf, MD 20601-2806 | 2005-08-26 |
| Find all providers in WALDORF | ||||
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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.