Eden Pharmacology Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDEN PHARMACOLOGY CENTER

Practice address

481 N Frederick Ave Ste 103
Gaithersburg, MD 20877-2470

Phone

(301) 298-9890

Fax

(301) 869-9909

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Jiho Choi, MDNPI 1225149859

Title

Owner/Staff Physician

Phone

(301) 298-9890

Specialties & licenses 2

Addresses

Other names 1

• Eden pharmacology center Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Jiho Choi, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Annandale, VA
  • NPI 1225149859

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1235908245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N FREDERICK AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772470",
            "telephone_number": "301-338-8119",
            "fax_number": "301-869-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N FREDERICK AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772470",
            "telephone_number": "301-298-9890",
            "fax_number": "301-869-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PHARMACOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JIHO",
        "authorized_official_title_or_position": "OWNER/STAFF PHYSICIAN",
        "authorized_official_telephone_number": "301-298-9890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden pharmacology center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalyn Ebb
• Nancy Ebb, LCSW C
• Echostat LLC
• Loribeth Eckard
• Eden Health Clinic Inc
• Patricia Ann Edmister, PHD
• Edon Healthcare Services, Inc.
• Antonia Lattice Edwards
• Mirshelle Edwards
• Colleen Kugel Egbuna, MS CCC/SLP

• Family Medicine Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.