REDICLINIC OF MD, LLC (NPI# 1942603089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942603089 |
Entity Type | Organization |
Organization Name | REDICLINIC OF MD, LLC |
Practice Address |
10134 River Rd Potomac MD 20854-4903 |
Mailing Address |
9 Greenway Plz Ste. 2950 Houston TX 77046-0905 |
Practice Telephone | 7133351754 |
Mailing Telephone | 7133351754 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Authorized Official Name | DANIELLE BARRERA (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 7135809489 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245633221 | Rediclinic of Md, LLC | Clinic/Center | 101 Reisterstown Rd., Pikesville, MD 21208-6102 | 2014-10-03 |
1659774644 | Rediclinic of Md, LLC | Clinic/Center | 6130 Baltimore Avenue, Riverdale, MD 20737-1905 | 2014-10-03 |
1730582867 | Rediclinic of Md, LLC | Clinic/Center | 11917-19 Reisterstown Rd., Reisterstown, MD 21136-3030 | 2014-10-03 |
1750731873 | Rediclinic of Md, LLC | Clinic/Center | 8701 Georgia Ave, Suite 100, Silver Spring, MD 20910-3713 | 2016-06-20 |
1942650395 | Rediclinic of Md, LLC | Clinic/Center | 9 Greenway Plz, Suite 2950, Houston, TX 77046-0905 | 2016-06-16 |
1053789768 | Rediclinic of Md, LLC | Clinic/Center | 250 Englar Road, Ste. 22, Westminster, MD 21157-2927 | 2015-09-11 |
1528447539 | Rediclinic of Md, LLC | Clinic/Center | 25 Jones Station Rd W, Severna Park, MD 21146-4200 | 2015-05-22 |
1841677465 | Rediclinic of Md, LLC | Clinic/Center | 5 Bel Air South Parkway, Ste. 1347, Bel Air, MD 21015-3809 | 2015-05-04 |
1356728984 | Rediclinic of Md, LLC | Clinic/Center | 8601 Baltimore National Pike, Ellicott City, MD 21043-4176 | 2015-05-04 |
1962805762 | Rediclinic of Md, LLC | Clinic/Center | 9810 Apollo Dr, Largo, MD 20774-4824 | 2014-10-07 |
Street Address |
10134 RIVER RD |
City | POTOMAC |
State | MD |
Zip Code | 20854-4903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265759385 | Hoan Kim Luu | Pharmacist | 10134 River Rd, Potomac, MD 20854-4903 | 2010-04-29 |
1972029635 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10134 River Rd, Potomac, MD 20854-4903 | 2017-08-15 |
1962945360 | Rachel Quinn | Nurse Practitioner | 10134 River Rd, Potomac, MD 20854-4903 | 2016-12-02 |
1215303649 | Edwin V Tengen | Pharmacist | 10134 River Rd, Potomac, MD 20854-4903 | 2015-08-20 |
1487057170 | Linda Uche | Nurse Practitioner | 10134 River Rd, Potomac, MD 20854-4903 | 2014-10-08 |
1710318225 | Shruti Mehta | Pharmacist | 10134 River Rd, Potomac, MD 20854-4903 | 2013-12-09 |
1134480700 | Kyong-eun Chung | Pharmacist | 10134 River Rd, Potomac, MD 20854-4903 | 2012-05-31 |
1063720977 | Helen Choi | Pharmacist | 10134 River Rd, Potomac, MD 20854-4903 | 2010-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
Find all providers in zip 20854 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194914333 | Potomac Eye Surgeons Pa | Clinic/Center | 11500 Lake Potomac Dr, Potomac, MD 20854-1223 | 2007-10-23 |
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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.