Provider Demographics
NPI:1659025559
Name:ABOVE & BEYOND PEDIATRICS
Entity Type:Organization
Organization Name:ABOVE & BEYOND PEDIATRICS
Other - Org Name:TUERE HUGHES-KAPENZI
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TUERE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES-KAPENZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:301-818-3799
Mailing Address - Street 1:12070 OLD LINE CTR STE 212
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2567
Mailing Address - Country:US
Mailing Address - Phone:301-710-0455
Mailing Address - Fax:301-710-9406
Practice Address - Street 1:12070 OLD LINE CTR STE 212
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2567
Practice Address - Country:US
Practice Address - Phone:301-818-3799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty