PRIMARY CARE OF GERMANTOWN,LC (NPI# 1861517336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861517336 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE OF GERMANTOWN,LC |
| Other Organization Name | EVERGREEN MEDICAL CENTER, LLC |
| Practice Address |
6 Executive Park Ct Germantown MD 20874-2645 |
| Practice Telephone | 3015159160 |
| Practice Fax Number | 3015157388 |
| Mailing Telephone | 3015159160 |
| Mailing Fax Number | 3015157388 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. SHARON XIAO-CHUN YANG (ATTENDING PHYSICIAN) |
| Authorized Official Telephone | 2406886949 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0061696 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE GROUP PROVIDER NUMBER | 150491ZDG4 | 01 |
| MD | 404942000 | 05 |
| Other Name | Type Code |
|---|---|
| evergreen medical center, LLC | Former Legal Business Name - Organization |
| Street Address |
6 EXECUTIVE PARK CT |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679896070 | Jing Gastroenterology Inc | Internal Medicine | 6 Executive Park Ct, Germantown, MD 20874-2645 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552219 | Premier Medical Care, LLC | Clinic/Center | 19735 Germantown Rd Ste 280, Germantown, MD 20874-1215 | 2020-09-09 |
| 1952724742 | Caballero Family Healthcare | Clinic/Center | 1920 Kirby Pkwy Ste 202, Germantown, TN 38138-3697 | 2014-01-29 |
| 1275735516 | Vernon A. Miller | Clinic/Center | 1900 Kirby Pkwy Ste 100, Germantown, TN 38138-3653 | 2007-05-31 |
| 1962502666 | Spectrum Pediatrics, LLC | Clinic/Center | 19705 Executive Park Cir, Germantown, MD 20874-2639 | 2006-09-22 |
| 1457322505 | Manbir Takhar, P.C. | Clinic/Center | 19504 Amaranth Dr, Germantown, MD 20874-1210 | 2006-01-27 |
| 1093197345 | Mobile Medical Care, Inc. | Clinic/Center | 19735 Germantown Rd, Suite 300, Germantown, MD 20874-1214 | 2015-06-23 |
| 1497015168 | Edwards Internal Medicine Pllc | Clinic/Center | 2195 West St, Germantown, TN 38138-3830 | 2012-05-29 |
| 1376840827 | Prime Medical Care, P.C. | Clinic/Center | 19735 Germantown Rd, Suite 280, Germantown, MD 20874-1214 | 2011-02-18 |
| 1740497601 | Lalarukh Malik | Clinic/Center | 19735 Germantown Rd, Suite 280, Germantown, MD 20874-1214 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1437718376 | Comforting Seniors LLC | Clinic/Center | 375 Valiant Cir, Glen Burnie, MD 21061-6135 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on PRIMARY CARE OF GERMANTOWN,LC.
| 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.