Lomack Primary Care, Inc | |
11120 New Hampshire Ave 507 Silver Spring MD 20904-2633 | |
(301) 593-1700 | |
(301) 593-1701 |
Full Name | Lomack Primary Care, Inc |
---|---|
Speciality | Clinic/Center |
Location | 11120 New Hampshire Ave, Silver Spring, Maryland |
Authorized Official Name and Position | Nkiru Juliana Ezeani (NURSE PRACTITIONER) |
Authorized Official Contact | 3015931700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lomack Primary Care, Inc 11120 New Hampshire Ave 507 Silver Spring MD 20904-2633 Ph: (301) 593-1700 | Lomack Primary Care, Inc 11120 New Hampshire Ave 507 Silver Spring MD 20904-2633 Ph: (301) 593-1700 |
NPI Number | 1942552815 |
---|---|
Provider Enumeration Date | 10/02/2012 |
Last Update Date | 05/26/2016 |
Medicare PECOS PAC ID | 5890946271 |
---|---|
Medicare Enrollment ID | O20121112000504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942552815 | NPI | - | NPPES |
412879600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | R151747 (Maryland) | Primary |
Provider Name | Nikiru J Ezeani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790900868 PECOS PAC ID: 2163514787 Enrollment ID: I20070827000585 |
Chephets Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 Musgrove Rd Ste 308, Silver Spring, MD 20904 Phone: 202-441-5190 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12014 Georgia Ave, Silver Spring, MD 20902 Phone: 301-337-2004 | |
Family Health Care Of Silver Spring Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 University Blvd. West, Suite 213, Silver Spring, MD 20901 Phone: 301-592-1784 Fax: 301-592-1783 | |
Sunitha Bhogavilli, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9801 Georgia Ave, Suite 117, Silver Spring, MD 20902 Phone: 301-570-9700 Fax: 301-260-2838 | |
Muslim Community Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 New Hamphire Avenue, Silver Spring, MD 20905 Phone: 703-789-3216 Fax: 571-349-0204 | |
Michael E. Leibowitz, M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11120 New Hampshire Ave, Suite 305, Silver Spring, MD 20904 Phone: 301-593-6844 Fax: 301-593-3832 | |
Elite Multi Specialty Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12501 Prosperity Dr Ste 330, Silver Spring, MD 20904 Phone: 301-604-4033 Fax: 240-645-4013 |