THE PEDIATRIC VILLAGE (NPI# 1992997449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992997449 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC VILLAGE |
| Practice Address |
4910 Massachusetts Ave Nw Suite 217 Washington DC 20016-4300 |
| Practice Telephone | 2022441553 |
| Mailing Telephone | 2022441553 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | MR. ALEX TORRES (BILLING MGR) |
| Authorized Official Telephone | 7036844581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST FEDERAL | 6466 | 01 |
| Street Address |
4910 MASSACHUSETTS AVE NW SUITE 217 |
| 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 |
| 1922395581 | Mmg - Georgetown Family Practice LLC | General Practice | 4910 Massachusetts Ave Nw, Suite 115, Washington, DC 20016-4300 | 2011-07-05 |
| 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 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598007494 | Araceli T Lagoc | Pediatrics | 3400 Alabama Ave Se, Washington, DC 20020-1242 | 2013-03-19 |
| 1467774547 | Core Health and Wellness | Pediatrics | 2750 14th St Nw, Ste. A, Washington, DC 20009-6909 | 2010-02-17 |
| 1013176924 | Lekeisha Terrell | Pediatrics | 3401 4th St Se Ste 114, Ballou Student Health Center, Unity Health Care, Washington, DC 20032-5406 | 2008-06-05 |
| 1184744526 | Marilyn D Mcpherson Corder | Pediatrics | 5425 14th St Nw, Washington, DC 20011-3613 | 2007-03-30 |
| 1063530335 | Isabel Goldenberg | Pediatrics | 800 21st Street, Nw, Ground Floor, Washington, DC 20052 | 2007-03-26 |
| 1740570365 | Katherine Rose Macdonald | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2011-04-15 |
| 1043517154 | Childrens Medical Care Center | Pediatrics | 5425 14th St Nw, Washington, DC 20011-3613 | 2011-02-25 |
| 1043403108 | Lisa Tuchman | Pediatrics | 111 Michigan Ave Nw, 6th Floor Main, Cri/cts, Washington, DC 20010-2916 | 2007-08-22 |
| 1770629321 | Amy Klamberg | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2007-01-30 |
| 1215073325 | Krishna Kumari Upadhya | Pediatrics | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2007-01-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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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.