Clifford Poddar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004671 Issued in MD

Practice address

19785 Crystal Rock Dr
Suite 209
Germantown, MD 20874-4700

Phone

(301) 515-2901

NPI assigned

Sep 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Silver Spring Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Silver Spring, MD
  • NPI 1386691442
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1083965388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 LIBERTY LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543639",
            "telephone_number": "240-286-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR",
            "address_2": "SUITE 209",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744700",
            "telephone_number": "301-515-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODDAR",
        "first_name": "CLIFFORD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelquisha Pitts, LMSW
• Platinum Dental Group, LLC (Platinum Dental Group)
• Platinum Healthcare Support Services
• Platinum Quest Counseling Services
• PM Pediatrics of Maryland LLC
• Carrie Pollock, M.S., CCC-SLP
• Ponciano Counseling and Wellness, LLC (Vertex Counseling and Wellness)
• Stephany Alexandra Ponciano Guevara, LCPC
• Ingrid Faviola Ponciano, LMFT
• Danielle Poole

• Medical Physician Assistant in Germantown, MD
• Providers in Germantown, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.