Capital Coordinated Medicine, Llc | |
10335 Kensington Pkwy Suite G Kensington MD 20895-3359 | |
(240) 744-0001 | |
(888) 206-0912 |
Full Name | Capital Coordinated Medicine, Llc |
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Speciality | General Practice |
Location | 10335 Kensington Pkwy, Kensington, Maryland |
Authorized Official Name and Position | Amy Lise Schiffman (PRESIDENT, MEDICAL DIRECTOR) |
Authorized Official Contact | 2407440001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capital Coordinated Medicine, Llc 20010 Century Blvd Suite 200 Germantown MD 20874-1115 Ph: (240) 686-2300 | Capital Coordinated Medicine, Llc 10335 Kensington Pkwy Suite G Kensington MD 20895-3359 Ph: (240) 744-0001 |
NPI Number | 1689069007 |
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Provider Enumeration Date | 04/02/2015 |
Last Update Date | 04/02/2015 |
Medicare PECOS PAC ID | 3072832328 |
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Medicare Enrollment ID | O20150507001854 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689069007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Amy L Schiffman |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841242971 PECOS PAC ID: 8426083601 Enrollment ID: I20050927001353 |
Provider Name | Andrea S Kohn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639339831 PECOS PAC ID: 7416022421 Enrollment ID: I20080826000203 |
Provider Name | Julie A Price |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1326044900 PECOS PAC ID: 5395729594 Enrollment ID: I20091023000226 |
Provider Name | Heather S Travis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386692960 PECOS PAC ID: 4385655018 Enrollment ID: I20100204000235 |
Provider Name | Hilda A Lively |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477799245 PECOS PAC ID: 2668500026 Enrollment ID: I20100506000218 |
Provider Name | James R Eskew |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1114915592 PECOS PAC ID: 6406988484 Enrollment ID: I20100712000235 |
Provider Name | Gladys A Chi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215260476 PECOS PAC ID: 9032381371 Enrollment ID: I20111011000476 |
Provider Name | Georgina A Johns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962701813 PECOS PAC ID: 9739332701 Enrollment ID: I20121227000338 |
Provider Name | Christina N Byam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588954234 PECOS PAC ID: 0547409997 Enrollment ID: I20140411001038 |
Provider Name | Stephanie L Roseti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184730277 PECOS PAC ID: 7719992643 Enrollment ID: I20140501000086 |
Provider Name | Adaku Lilian Izunwanne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104245224 PECOS PAC ID: 3274757000 Enrollment ID: I20150818003333 |
Provider Name | Chloe Nichols |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053654541 PECOS PAC ID: 5597903419 Enrollment ID: I20151201001051 |
Provider Name | Avi Schachter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063471845 PECOS PAC ID: 8729024948 Enrollment ID: I20151203001561 |
Provider Name | Janelle N Akomah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841660024 PECOS PAC ID: 1557662871 Enrollment ID: I20151210001355 |
Provider Name | Patricia Chang Carpenter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730505546 PECOS PAC ID: 5799903738 Enrollment ID: I20170227000200 |
Provider Name | Amy E Schuler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841462611 PECOS PAC ID: 2365517752 Enrollment ID: I20170302000093 |
Provider Name | Robin C Kaufman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477732329 PECOS PAC ID: 9830314012 Enrollment ID: I20180222001982 |
Provider Name | Tracy C Bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952726820 PECOS PAC ID: 3577825694 Enrollment ID: I20180329001186 |
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