MMG - GEORGETOWN FAMILY PRACTICE LLC (NPI# 1922395581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922395581 |
| Entity Type | Organization |
| Organization Name | MMG - GEORGETOWN FAMILY PRACTICE LLC |
| Practice Address |
4910 Massachusetts Ave Nw Suite 115 Washington DC 20016-4300 |
| Mailing Address |
Po Box 418681 Boston MA 02241-8681 |
| Practice Telephone | 2022370015 |
| Practice Fax Number | 2022370076 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | MS. STEPHANIE SCHNEIDER (VICE PRESIDENT) |
| Authorized Official Telephone | 7035581403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4910 MASSACHUSETTS AVE NW SUITE 115 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011095 | Elise Ney | Audiologist | 4910 Massachusetts Ave Nw, Ste 29, Washington, DC 20016-4382 | 2005-05-24 |
| 1720462229 | Grace Allison Beers | Physician Assistant | 4910 Massachusetts Ave Nw, Washington, DC 20016-4300 | 2015-07-14 |
| 1306131172 | Kourtney Osorio | Family Medicine | 4910 Massachusetts Ave Nw, Washington, DC 20016-4300 | 2011-06-09 |
| 1265742118 | Ney Associates Inc. | Audiologist-Hearing Aid Fitter | 4910 Massachusetts Ave Nw, Suite 29, Washington, DC 20016-4300 | 2010-10-13 |
| 1265666291 | Shawna Leigh Hawk | Dentist | 4910 Massachusetts Ave Nw, Suite 210, Washington, DC 20016-4300 | 2009-05-05 |
| 1013155654 | Comprehensive Cardiac Care Pllc | Internal Medicine | 4910 Massachusetts Ave Nw, Suite 302, Washington, DC 20016-4388 | 2009-02-03 |
| 1548406218 | Sanjay M Patel | Physical Therapist | 4910 Massachusetts Ave Nw, Mid-atlantic Podiatry Associates- Suite 315, Washington, DC 20016-4300 | 2008-12-30 |
| 1811215098 | Suzanne French | Nurse Practitioner | 4910 Massachusetts Ave Nw, Suite 308, Washington, DC 20016-4300 | 2008-08-06 |
| 1497931745 | Roya B Pilcher | Dentist | 4910 Massachusetts Ave Nw, Suite 311, Washington, DC 20016-4300 | 2008-01-17 |
| 1750563490 | William A Condrell, Md PC | Internal Medicine | 4910 Massachusetts Ave Nw, Suite 315, Washington, DC 20016-4300 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
| 1912487380 | James Elwood Richardson | Family Medicine | 270 Shady Ln, Washington, PA 15301-2536 | 2018-08-15 |
| 1851829709 | Jason Snavely | Family Medicine | 95 Leonard Ave Bldg 22nd, Washington, PA 15301-3368 | 2017-05-23 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1992158364 | Ok Hee Rhee | Family Medicine | 6 Club House Dr Ste 102, Washington, NJ 07882-2213 | 2016-07-20 |
| 1154738193 | Presidential Healthcare Center | Family Medicine | 5215 Loughboro Road Nw, Suite 470, Washington, DC 20016 | 2014-07-22 |
| 1174936686 | Andrew Moss | Family Medicine | 6121 32nd St Nw, Washington, DC 20015-2459 | 2014-06-03 |
| 1417367814 | Fri Awasum | Family Medicine | 2041 Georgia Ave Nw Faclty Practice Plan Suite 3200, Washington, DC 20060-7232 | 2014-05-07 |
| 1982024378 | Robert Latham Baillieu | Family Medicine | 1400 I (eye) Street Nw, Suite 825, Washington, DC 20005 | 2014-04-24 |
| 1003233453 | Jennifer Carlton | Family Medicine | 64580 Van Dyke Rd Ste C, Washington, MI 48095-2811 | 2014-03-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on MMG - GEORGETOWN FAMILY PRACTICE LLC.
| 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.