Provider Demographics
NPI: | 1184435372 |
---|---|
Name: | CHILDREN FIRST PEDIATRICS |
Entity type: | Organization |
Organization Name: | CHILDREN FIRST PEDIATRICS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RACHEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BAKERSMITH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 301-990-0137 |
Mailing Address - Street 1: | 2301 RESEARCH BLVD STE 115 |
Mailing Address - Street 2: | |
Mailing Address - City: | ROCKVILLE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20850-6544 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 301-990-1664 |
Mailing Address - Fax: | 301-990-0471 |
Practice Address - Street 1: | 10301 GEORGIA AVE STE 106 |
Practice Address - Street 2: | |
Practice Address - City: | SILVER SPRING |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20902-5020 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-681-6000 |
Practice Address - Fax: | 301-990-0471 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CHILDREN FIRST PEDIATRICS |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2025-01-16 |
Last Update Date: | 2025-01-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Single Specialty |