Provider Demographics
NPI:1942458187
Name:AVERY HEALTHCARE ASSOCIATES,P.C.
Entity Type:Organization
Organization Name:AVERY HEALTHCARE ASSOCIATES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:202-546-6522
Mailing Address - Street 1:650 PENNSYLVANIA AVE SE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4318
Mailing Address - Country:US
Mailing Address - Phone:202-546-6522
Mailing Address - Fax:202-547-3559
Practice Address - Street 1:650 PENNSYLVANIA AVE SE
Practice Address - Street 2:SUITE 320
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4318
Practice Address - Country:US
Practice Address - Phone:202-546-6522
Practice Address - Fax:202-547-3559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD16537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC025922700Medicaid
MD05205OtherAMERIGROUP
DC15097OtherCHATERED HEALTH PLAN
DC817127OtherOPTIMUM CHOICE
DC817127OtherMDIPA
DCA123-0001OtherCAREFIRST BLUE CROSS
DC41530OtherAETNA
DC217127OtherONENET
DC6535012OtherCIGNA
DC910900OtherHEALTHKEEPERS
DC1462425OtherUNITED HEALTH CARE
DC15097OtherCHATERED HEALTH PLAN
DC025922700Medicaid