Pediatric Comfortcare, LLC

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

Legal business name

PEDIATRIC COMFORTCARE, LLC

Practice address

10300 Crown Point CT
Potomac, MD 20854-3901

Phone

(301) 452-0460

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caren O Glassman, MD

Title

President

Phone

(301) 452-0460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1073884292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542931",
            "telephone_number": "301-652-5771",
            "fax_number": "301-652-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 CROWN POINT CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543901",
            "telephone_number": "301-452-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC COMFORTCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "CAREN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-452-0460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Doc LLC
• Inez Maria Pandit, M.D.
• Mary C Pappas-Sandonas, MS, C-IAYT, CIYT
• Seung Park, L.AC
• Jessica Pavlick, M.PSY.
• Maxine Penn, LCSW
• Cassandra Peters-Johnson, PHD, CCC-SLP
• Patricia Petrick, M.D.
• Bruce Paul Pfeffer, M.D.
• Suprisha Phillips

• Pediatric Hospice and Palliative Medicine Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Pediatric Hospice and Palliative Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.