CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC


Address: 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528
Phone: 2405075110

CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC (NPI# 1922496462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922496462
Entity Type Organization
Organization Name CAPITAL CENTER FOR FUNCTIONAL MEDICINE LLC
Practice Address 4701 Sangamore Rd Ste N270
Bethesda
MD 20816-2528
Mailing Address 10625 Pine Haven Ter
North Bethesda
MD 20852-3434
Practice Telephone 2405075110
Mailing Telephone 3016025025
Enumeration Date 2015-01-07
Last Update Date 2015-01-07
Authorized Official Name ANDREW WONG (FOUNDER AND MEDICAL DIRECTOR)
Authorized Official Telephone 3016025025
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine D66066 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 014051100 05

Office Location

Street Address 4701 SANGAMORE RD STE N270
City BETHESDA
State MD
Zip Code 20816-2528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639213150 Andrew Leung-doon Wong Internal Medicine 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 2007-02-17
1740881556 Ayla Michelle Neal Nutritionist 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 2020-11-06
1932607504 Integrated Acupuncture, LLC Acupuncturist 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 2018-01-29
1104224518 Capital Integrative Health Internal Medicine 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 2014-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881257756 Marie Theresa Newman Registered Nurse 6211 Winnebago Road, Bethesda, MD 20816 2019-04-17
1336695600 Corewood Care LLC In Home Supportive Care 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 2016-08-28
1184077786 Bobby Mann Dentist 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 2016-07-19
1538572755 Bethesda-chevy Chase Assessment and Counseling Associates Social Worker 4701 Sangamore Rd., #s235, Bethesda, MD 20816 2014-06-05
1982022430 Kate Poropatich Student in an Organized Health Care Education/Training Program 5710 Springfield Dr., Bethesda, MD 20816 2014-04-02
1134567373 Edwin Gordon Specialist 5821 Osceola Rd, Bethesda, MD 20816 2013-06-10
1336470335 Robin Andrea Ely Family Medicine 4633 River Road, Bethesda, MD 20816 2010-01-15
1861630220 Cheryl Sladkin Altschuler Pediatrics 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 2009-01-22
1689869323 Monroe Pray Jr. Psychiatry & Neurology 4915 Earlston Dr, Bethesda, MD 20816 2007-09-06
1154426989 Maryland Cvs Pharmacy LLC Pharmacy 4601a Sangamore Rd, Bethesda, MD 20816 2006-09-14
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063978930 Ofq, Pllc Internal Medicine 5325 Westbard Ave Apt 620, Bethesda, MD 20816-4413 2019-02-15
1477036028 Iago Pinal-fernandez Internal Medicine Nih/niams Bldg 50, Room 1140, Bethesda, MD 20892-0001 2018-09-10
1265932545 Nobuyuki Takahashi Internal Medicine 9609 Medical Center Drive, Bethesda, MD 20892-9760 2018-02-13
1891229704 Kimberly Staudt Internal Medicine Internal Medicine Walter Reed Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 2017-04-18
1558710012 Lawrence Paul Saladino Internal Medicine 4450 Montgomery Ave, Bethesda, MD 20814-4404 2016-06-06
1720449812 Zachary Johnston Internal Medicine 4494 Palmer Rd N, Bethesda, MD 20889-2111 2016-03-16
1114306677 Noushin Jazebi Internal Medicine Bg 10-crc Rm 7-5680 Msc 1404 10 Center Drive, Bethesda, MD 20892-1404 2015-05-29
1740677749 Daniel Jaaron Selig Internal Medicine 194954 N. Palmer Rd. America Building, Internal Medicine Department Wrnmmc, Bethesda, MD 20889-5600 2015-04-17
1982090692 Mickey Justin Myles Kuo Internal Medicine Bg 10 Rm 13n268, 10 Center Dr, Bethesda, MD 20814 2015-04-09
1740694884 David Ng Internal Medicine 49 Convent Dr, Bldg 49 Rm 4a28, Bethesda, MD 20892-5805 2014-06-17
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City BETHESDA
Zip Code 20816

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Dataset Information

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.

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