Arundel Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ARUNDEL PEDIATRICS, PA

Practice address

1460 Ritchie Hwy Ste 209
Arnold, MD 21012-2741

Phone

(410) 789-7337

Fax

(410) 349-1107

NPI assigned

Mar 8, 2006

Last updated

Jun 4, 2024By 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

Mrs. Jaime Hilliard, CMOM

Title

Practice Manager

Phone

(410) 789-7337

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7466/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheanita R Howard, MD

  • Pediatric Adolescent Medicine Physician
  • Arnold, MD
  • NPI 1659699254
  NPD
• Shelley Revesz, DO

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1083175541
  NPD
• Candace Ann Tesch, M.D.

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1225104391
  NPD
• Rebecca F Vickers, MD

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1588643589
  NPD
• Meghann L Wellard, CRNP

  • Pediatric Nurse Practitioner
  • Arnold, MD
  • NPI 1184736712
  NPD
• Alissa Won, M.D.

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1023000866
  NPD
• Meredith Ellmore, MSN CRNP

  • Pediatric Nurse Practitioner
  • Annapolis, MD
  • NPI 1295553832
  NPD (past)
• Kathryn Beaulieu Fournier, CPNP-PC

  • Pediatric Nurse Practitioner
  • Silver Spring, MD
  • NPI 1225562812
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1265400113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY STE 209",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122741",
            "telephone_number": "410-789-7337",
            "fax_number": "410-349-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY STE 209",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122741",
            "telephone_number": "410-789-7337",
            "fax_number": "410-349-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-789-7337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenaclinicals",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1460 Ritchie Hwy",
            "city": "Arnold",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210122730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arnold Veterinary Medical Group, LTD
• Arpella Health (Arpella Physical Therapy)
• Arpella Health (Arpella Physical Therapy)
• Arundel Mental Health Professionals L.C. (LifeStance Health)
• Arundel Mental Health Professionals LLC
• Ray Morse Atcherson, O.O.
• Asha S Athans, DDS
• John Michael Avallone
• Balanced by the Bay (Balanced By the Bay Chiropractic)
• Regina Ball

• Pediatrics Physician in Arnold, MD
• Providers in Arnold, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.