Organization Active NPI

Quince Orchard Pediatrics

  • Primary Care Clinic/Center
  • North Potomac, MD
National Provider Identifier
1043726664
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0035634 Issued in MD
Legal business name
QUINCE ORCHARD PEDIATRICS
Practice address
11906 Darnestown Rd Ste F
North Potomac, MD 20878-2200
Phone
(301) 987-1560
Fax
(301) 987-5817
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine B Hunsinger
Title
Office Manager
Phone
(301) 987-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0035634 MD Primary

Addresses

Primary practice location

11906 Darnestown Rd Ste F
North Potomac, MD 20878-2200

Mailing address

11906 Darnestown Rd Ste F
North Potomac, MD 20878-2200
Phone (301) 987-1560

Other identifiers 1

IdentifierTypeStateIssuer
7638418P0001MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0982211Quince Orchard Pediatrics11906 Darnestown Road Ste F, North Potomac, MD 20878Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

11906 Darnestown Rd
Ste F
North Potomac, MD 20878
Phone (301) 987-1560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1043726664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD STE F",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-987-1560",
            "fax_number": "301-987-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD STE F",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-987-1560",
            "fax_number": "301-987-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCE ORCHARD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "HUNSINGER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-987-1560"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0035634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7638418P0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.