| So Others Might Eat | |
|
60 O Street Nw Washington DC 20001 | |
| (202) 797-8806 | |
| (202) 265-0927 |
| Full Name | So Others Might Eat |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 O Street Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Ralph Boyd (PRESIDENT/CEO) |
| Authorized Official Contact | 2027978806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| So Others Might Eat 60 O St Nw Washington DC 20001-1258 Ph: (202) 797-8806 | So Others Might Eat 60 O Street Nw Washington DC 20001 Ph: (202) 797-8806 |
| NPI Number | 1295803856 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Medicare PECOS PAC ID | 0143200469 |
|---|---|
| Medicare Enrollment ID | O20040726000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295803856 | NPI | - | NPPES |
| 019475100 | Medicaid | DC | |
| 080018500 | Medicaid | DC | |
| 019476800 | Medicaid | DC | |
| 074882400 | Medicaid | DC | |
| 036437300 | Medicaid | DC |
| Provider Name | Ronald J Koshes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437146305 PECOS PAC ID: 0446237317 Enrollment ID: I20040630000190 |
| Provider Name | Michangelo D Scruggs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104033703 PECOS PAC ID: 7517929045 Enrollment ID: I20041029000518 |
| Provider Name | Alice T Gasch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144326158 PECOS PAC ID: 3779534128 Enrollment ID: I20050203000154 |
| Provider Name | Maheteme Bayeh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093706871 PECOS PAC ID: 3476598418 Enrollment ID: I20050621000814 |
| Provider Name | Anna Quast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174557581 PECOS PAC ID: 0345242061 Enrollment ID: I20070209000251 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194734376 PECOS PAC ID: 8224034921 Enrollment ID: I20080218000269 |
| Provider Name | Nilufar Medhane |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811062862 PECOS PAC ID: 1658568639 Enrollment ID: I20101203000680 |
| Provider Name | Yavar Moghimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982879185 PECOS PAC ID: 8325216294 Enrollment ID: I20110720000094 |
| Provider Name | Graciela Rodriguez Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285913772 PECOS PAC ID: 7911169784 Enrollment ID: I20120425000029 |
| Provider Name | Cathy Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306127295 PECOS PAC ID: 1759543275 Enrollment ID: I20120430000451 |
| Provider Name | Theresa M. Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134429996 PECOS PAC ID: 2961657937 Enrollment ID: I20130222000193 |
| Provider Name | Jennifer Candice Grace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861802654 PECOS PAC ID: 4587987946 Enrollment ID: I20141216002224 |
| Provider Name | Carrie M Ojo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215385513 PECOS PAC ID: 6002108594 Enrollment ID: I20160701000068 |
| Provider Name | Ebony Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447715354 PECOS PAC ID: 1951642727 Enrollment ID: I20190403002283 |
| Provider Name | Elizabeth Mary Horrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386278000 PECOS PAC ID: 8224467626 Enrollment ID: I20200407000162 |
| Provider Name | Helen Viban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598020877 PECOS PAC ID: 2567865819 Enrollment ID: I20210723000875 |
| Provider Name | Thomas Kershaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679067326 PECOS PAC ID: 6204218118 Enrollment ID: I20220809000434 |
| Provider Name | Maryanne Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699490532 PECOS PAC ID: 1254709744 Enrollment ID: I20221114002235 |
| Provider Name | Christine Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083667257 PECOS PAC ID: 7416844808 Enrollment ID: I20230207000086 |
| Provider Name | James Henry Parks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962164103 PECOS PAC ID: 5698112183 Enrollment ID: I20240320000046 |
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