| Medstar Georgetown Medical Center, Inc | |
|
3800 Reservoir Rd Nw Washington DC 20007-2113 | |
| (888) 896-1400 | |
| Not Available |
| Full Name | Medstar Georgetown Medical Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Reservoir Rd Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Stephanie Schneider (VP) |
| Authorized Official Contact | 7035581403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Georgetown Medical Center, Inc Po Box 418283 Boston MA 02241-8283 Ph: () - | Medstar Georgetown Medical Center, Inc 3800 Reservoir Rd Nw Washington DC 20007-2113 Ph: (888) 896-1400 |
| NPI Number | 1285636522 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 5597667972 |
|---|---|
| Medicare Enrollment ID | O20040126000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285636522 | NPI | - | NPPES |
| W675 | Other | DC | BLUE SHIELD PEDS PCP GRP# |
| W677 | Other | DC | BLUE SHIELD ADULT PCP GRP |
| 027174100 | Medicaid | DC | |
| 6572 | Other | DC | BLUE SHIELD GROUP NUMBER |
| 442AGE | Other | MD | BLUE SHIELD PEDS PCP GRP# |
| 097005100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (District Of Columbia) | Primary |
| Provider Name | Kathleen B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851390207 PECOS PAC ID: 7618954173 Enrollment ID: I20040701001371 |
| Provider Name | Brigid A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922084680 PECOS PAC ID: 3274510706 Enrollment ID: I20040702000258 |
| Provider Name | Aiwu R He |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1942306360 PECOS PAC ID: 7214945336 Enrollment ID: I20060331000396 |
| Provider Name | Joseph G Verbalis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194724047 PECOS PAC ID: 4587667399 Enrollment ID: I20060817000139 |
| Provider Name | Matthew G Biel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235353715 PECOS PAC ID: 4082703541 Enrollment ID: I20071205000630 |
| Provider Name | Elise Jarris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558520239 PECOS PAC ID: 9739254269 Enrollment ID: I20080819000347 |
| Provider Name | Raymond Turner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801977939 PECOS PAC ID: 2567521362 Enrollment ID: I20081108000026 |
| Provider Name | Julianna Barsony |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427297233 PECOS PAC ID: 4587721394 Enrollment ID: I20090323000481 |
| Provider Name | Louis M Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205859931 PECOS PAC ID: 9830248459 Enrollment ID: I20090601000162 |
| Provider Name | Priscilla Dass-brailsford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972777969 PECOS PAC ID: 9931246709 Enrollment ID: I20091027000695 |
| Provider Name | Jacqueline Jonklaas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285633636 PECOS PAC ID: 4385770130 Enrollment ID: I20100331000320 |
| Provider Name | John Lindsay Marshall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316935844 PECOS PAC ID: 6608903083 Enrollment ID: I20100415000607 |
| Provider Name | Stephen Mitchell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194713503 PECOS PAC ID: 9234267857 Enrollment ID: I20100503000125 |
| Provider Name | Claudine J. Isaacs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164414751 PECOS PAC ID: 5294863866 Enrollment ID: I20100503000718 |
| Provider Name | James Nicholas Baraniuk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225036353 PECOS PAC ID: 7113056482 Enrollment ID: I20100525000424 |
| Provider Name | Seble Kassaye |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720154545 PECOS PAC ID: 0143381988 Enrollment ID: I20101004000241 |
| Provider Name | Janice L Krupnick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164421327 PECOS PAC ID: 6800084567 Enrollment ID: I20101221001133 |
| Provider Name | Brent Harris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225060205 PECOS PAC ID: 4981628492 Enrollment ID: I20110504000037 |
| Provider Name | Robert Rubin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013917749 PECOS PAC ID: 2163608217 Enrollment ID: I20110525000557 |
| Provider Name | Michael Ybarra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790944544 PECOS PAC ID: 7911185954 Enrollment ID: I20110622000570 |
| Provider Name | Christopher Wilcox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245231109 PECOS PAC ID: 9931378593 Enrollment ID: I20110816000590 |
| Provider Name | Cory Allen Wittrock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720255409 PECOS PAC ID: 4486708377 Enrollment ID: I20110830000343 |
| Provider Name | Virginia Steen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073513818 PECOS PAC ID: 2365609021 Enrollment ID: I20120208000058 |
| Provider Name | Janet Smereck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376543124 PECOS PAC ID: 9638337801 Enrollment ID: I20120220000133 |
| Provider Name | Michael Atkins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306874201 PECOS PAC ID: 2769438894 Enrollment ID: I20120625000386 |
| Provider Name | Melanie M Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487846549 PECOS PAC ID: 1658466628 Enrollment ID: I20120709000679 |
| Provider Name | Stacey I Kaltman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811059207 PECOS PAC ID: 1052558640 Enrollment ID: I20130520000584 |
| Provider Name | Karen E Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891718359 PECOS PAC ID: 8628255817 Enrollment ID: I20140509001326 |
| Provider Name | Matthew D Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184915837 PECOS PAC ID: 1153540844 Enrollment ID: I20140911000186 |
| Provider Name | Mary Ann Dutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710260740 PECOS PAC ID: 7618291394 Enrollment ID: I20150129001000 |
| Provider Name | Jesse L Goodman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457415366 PECOS PAC ID: 6800112079 Enrollment ID: I20150305001156 |
| Provider Name | Elizabeth A Hoge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083605208 PECOS PAC ID: 5294709994 Enrollment ID: I20150320000554 |
| Provider Name | Kathryn Voss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336407030 PECOS PAC ID: 9436463247 Enrollment ID: I20150806010248 |
| Provider Name | Philippa N Soskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346565181 PECOS PAC ID: 4486885548 Enrollment ID: I20151005002957 |
| Provider Name | Puja P Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659683746 PECOS PAC ID: 3375784838 Enrollment ID: I20161007001632 |
| Provider Name | Daniel Sulmasy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811081953 PECOS PAC ID: 7911059233 Enrollment ID: I20170808002895 |
| Provider Name | Margaret Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447499520 PECOS PAC ID: 1052676426 Enrollment ID: I20180606000966 |
| Provider Name | Marc Lippman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578649430 PECOS PAC ID: 3173522588 Enrollment ID: I20190327001542 |
| Provider Name | Jason Y Yuan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497198055 PECOS PAC ID: 3577859172 Enrollment ID: I20190627001666 |
| Provider Name | Kean Hsu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386084036 PECOS PAC ID: 1254755895 Enrollment ID: I20200716000062 |
| Provider Name | Joyce M Slingerland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700890282 PECOS PAC ID: 4284821802 Enrollment ID: I20210917000345 |
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