Guh Kids Mobile Medical Clinic Program, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC

Practice address

4225 6TH St SE
Washington, DC 20032-3613

Phone

(202) 468-4816

NPI assigned

Sep 6, 2019

Organization subpart

Yes

Parent organization

GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Stephanie Schneider

Title

VP

Phone

(702) 558-1403

Specialties & licenses 1

Addresses

Other names 1

• Hoya Clinic at Triumph Doing business as

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

CLIA laboratory certificates

Part of

Guh Kids Mobile Medical Clinic Program LLC

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1194374710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418283",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418283",
            "telephone_number": "703-558-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 6TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323613",
            "telephone_number": "202-468-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "702-558-1403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoya Clinic at Triumph",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Guevara
• Silvia Yanet Guevara
• Yolin Guevara
• Anthony T Guffian
• Misir Gugsa
• Guh Kids Mobile Medical Clinic Program, LLC
• Guh Kids Mobile Medical Clinic Program, LLC
• Guh Kids Mobile Medical Clinic Program, LLC
• Guh Kids Mobile Medical Clinic Program, LLC
• Angele Flore Guiadem, MD

• General Practice Physician in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.