Pandora Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PANDORA FAMILY MEDICINE

Practice address

6300 Baltimore Ave Ste 1
University Park, MD 20782-2123

Phone

(301) 200-0960

Fax

(250) 999-6514

NPI assigned

Dec 19, 2022

Last updated

Feb 21, 2023By 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

Dr. Rachel Gougian, DONPI 1528420387

Title

Owner

Phone

(978) 302-8798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHJCD

Practitioners 1

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.

• Rachel L Gougian, DO

  • Family Medicine Physician
  • University Park, MD
  • NPI 1528420387

  DC, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1285346551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 BALTIMORE AVE STE 1",
            "city": "UNIVERSITY PARK",
            "state": "MD",
            "postal_code": "207822123",
            "telephone_number": "301-200-0960",
            "fax_number": "250-999-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 BALTIMORE AVE STE 1",
            "city": "UNIVERSITY PARK",
            "state": "MD",
            "postal_code": "207822123",
            "telephone_number": "301-200-0960",
            "fax_number": "250-999-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDORA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "GOUGIAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-302-8798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecting After Care
• Rachel L Gougian, DO
• Jeanice Hwang, DO
• Pia P Lipscomb-King, MSW
• Donald L Oberg, PH.D
• Jacqueline Anne Sabath, LCPC
• Loretta Vitale Saks, M.S.W.
• Samantha Congdon LLC
• Laura Sonjara, M.A., CCC-SLP
• Danielle Tiley, LCSW-C

• Family Medicine Physician in University Park, MD
• Providers in University Park, 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 Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.