| Family Care Associates | |
|
702 Russell Ave Ste 100 Gaithersburg MD 20877-2605 | |
| (301) 330-0006 | |
| (301) 330-0444 |
| Full Name | Family Care Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 702 Russell Ave Ste 100, Gaithersburg, Maryland |
| Authorized Official Name and Position | Gennady Vinokur (MANAGER) |
| Authorized Official Contact | 3013300006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Associates 702 Russell Ave Ste 100 Gaithersburg MD 20877-2605 Ph: (301) 330-0006 | Family Care Associates 702 Russell Ave Ste 100 Gaithersburg MD 20877-2605 Ph: (301) 330-0006 |
| NPI Number | 1003151291 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 8325283229 |
|---|---|
| Medicare Enrollment ID | O20130326000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003151291 | NPI | - | NPPES |
| Provider Name | Shobha L Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447974 PECOS PAC ID: 6709966260 Enrollment ID: I20080227000855 |
| Provider Name | Lynn C Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700857828 PECOS PAC ID: 6103982863 Enrollment ID: I20090304000372 |
| Provider Name | Tiruayer Negatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902057177 PECOS PAC ID: 8527124189 Enrollment ID: I20090515000065 |
| Provider Name | Safoura Moraveji |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801910641 PECOS PAC ID: 7315129590 Enrollment ID: I20110309000375 |
| Provider Name | Anitha Kandaswamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528383445 PECOS PAC ID: 1850514191 Enrollment ID: I20140514000773 |
| Provider Name | Memouna M Foudjou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578967972 PECOS PAC ID: 1658695440 Enrollment ID: I20150128000400 |
| Provider Name | Shani Cerritos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043667264 PECOS PAC ID: 1759645856 Enrollment ID: I20180425001717 |
| Provider Name | Olga Varnacheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952815771 PECOS PAC ID: 4981948452 Enrollment ID: I20181211000541 |
| Provider Name | Alexander E Hammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144794678 PECOS PAC ID: 2062751894 Enrollment ID: I20190222000290 |
| Provider Name | Janna Mustafina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831677236 PECOS PAC ID: 4183965197 Enrollment ID: I20190514000206 |
| Provider Name | Mohamed Bundu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376917385 PECOS PAC ID: 0244664167 Enrollment ID: I20200102000303 |
| Provider Name | Vida Robb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276303 PECOS PAC ID: 0749619625 Enrollment ID: I20200422000063 |
| Provider Name | Temitope O Akinladenu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972147189 PECOS PAC ID: 3274963863 Enrollment ID: I20200422002360 |
| Provider Name | Gifty Adwoa Appiah Addai Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770126732 PECOS PAC ID: 1254761869 Enrollment ID: I20200423000022 |
| Provider Name | Iakov Nikolayevich Rudenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932595527 PECOS PAC ID: 6406288174 Enrollment ID: I20200825000886 |
| Provider Name | Adenike Akonedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861022907 PECOS PAC ID: 1759701618 Enrollment ID: I20201014001157 |
| Provider Name | Habibatu Kemoh Sesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852023 PECOS PAC ID: 0547683260 Enrollment ID: I20201020002726 |
| Provider Name | Judith Besem Akoh-arrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336651 PECOS PAC ID: 5698930139 Enrollment ID: I20210323000094 |
| Provider Name | Edith E Onyenemezu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164070280 PECOS PAC ID: 4587094354 Enrollment ID: I20210323000998 |
| Provider Name | Francine Mefeussom Kamhoua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275145468 PECOS PAC ID: 0042630782 Enrollment ID: I20210512000694 |
| Provider Name | Kelly Amike Ngenge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689286197 PECOS PAC ID: 6608296546 Enrollment ID: I20210616003404 |
| Provider Name | Tsige Alemu Woldemichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285306951 PECOS PAC ID: 4880083369 Enrollment ID: I20211124001402 |
| Provider Name | Francis Ihejirika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124797287 PECOS PAC ID: 6901297233 Enrollment ID: I20211222000069 |
| Provider Name | Robert Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801136239 PECOS PAC ID: 4385036235 Enrollment ID: I20220126002424 |
| Provider Name | Dorothy Eposi Mbellason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295315117 PECOS PAC ID: 3870993934 Enrollment ID: I20220404000020 |
| Provider Name | Tammy L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720109846 PECOS PAC ID: 1052551017 Enrollment ID: I20220614002692 |
| Provider Name | Lucas Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992447742 PECOS PAC ID: 5890174460 Enrollment ID: I20220628002650 |
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