| Metro Health, Inc | |
|
600 Pennsylvania Ave Se Ste Ll1 Washington DC 20003-6414 | |
| (202) 630-8178 | |
| (202) 638-0749 |
| Full Name | Metro Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Pennsylvania Ave Se Ste Ll1, Washington, District Of Columbia |
| Authorized Official Name and Position | Vincent Joseph Lopez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2026308178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Health, Inc 600 Pennsylvania Ave Se Ste Ll1 Washington DC 20003-6414 Ph: (202) 630-8178 | Metro Health, Inc 600 Pennsylvania Ave Se Ste Ll1 Washington DC 20003-6414 Ph: (202) 630-8178 |
| NPI Number | 1710193438 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 0547481103 |
|---|---|
| Medicare Enrollment ID | O20141023000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710193438 | NPI | - | NPPES |
| Provider Name | William B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497723753 PECOS PAC ID: 1254387970 Enrollment ID: I20050325000374 |
| Provider Name | Rhondee Baldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104936517 PECOS PAC ID: 2163591322 Enrollment ID: I20100604000736 |
| Provider Name | Shayla D Graham-brock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568635464 PECOS PAC ID: 0446438659 Enrollment ID: I20110616000627 |
| Provider Name | Annick P Hebou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629235759 PECOS PAC ID: 5092937839 Enrollment ID: I20141112001113 |
| Provider Name | Kevin Samuel Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978229 PECOS PAC ID: 7214100676 Enrollment ID: I20150821012915 |
| Provider Name | Carolyn G Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225580483 PECOS PAC ID: 1951670926 Enrollment ID: I20170706002579 |
| Provider Name | Cherry Lynne C Maliksi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154833028 PECOS PAC ID: 6608125463 Enrollment ID: I20180828001586 |
| Provider Name | Michele S Tabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942795042 PECOS PAC ID: 5597015545 Enrollment ID: I20180912002209 |
| Provider Name | David Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134746910 PECOS PAC ID: 2163812165 Enrollment ID: I20211210000357 |
| Provider Name | Allison Paige Gabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932869724 PECOS PAC ID: 1658767710 Enrollment ID: I20220330000700 |
| Provider Name | Tyris Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871169664 PECOS PAC ID: 3274929690 Enrollment ID: I20220411001970 |
| Provider Name | Kudi S Njembu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720693732 PECOS PAC ID: 9830589142 Enrollment ID: I20220523000957 |
| Provider Name | Daniel Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497488423 PECOS PAC ID: 6204203979 Enrollment ID: I20221109001743 |
| Provider Name | Germain Ndjomo Angu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679187793 PECOS PAC ID: 7214393511 Enrollment ID: I20230511000866 |
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