Paraclete Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0059649 Issued in MD

Legal business name

PARACLETE CARE INC

Practice address

10801 Hickory Ridge Rd
Suite 215
Columbia, MD 21044-3869

Phone

(410) 740-4411

Fax

(410) 740-4421

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Ikechukwu D Mbonu, MD

Title

Physician

Phone

(410) 740-4411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1235309188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 VINTAGE EARTH PATH",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235879",
            "telephone_number": "301-483-0615",
            "fax_number": "240-280-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD",
            "address_2": "SUITE 215",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443869",
            "telephone_number": "410-740-4411",
            "fax_number": "410-740-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARACLETE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "MBONU",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-740-4411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0059649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415713300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen E Panos, LCPC
• Rosemary Pantaleo
• Vynessa Pantano, LMT
• Alla Pap
• Sara Anndelvecchio Papesh, PHARMD
• Suchitra Paranji, M.D.
• Foram Pare
• Jillian Spence Parente, LCSW-C
• Kiran J Parikh, M.D.
• Christina Ann Parisi, M.D.

• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.