NPIMap

Organization Active NPI

Guh Kids Mobile Medical Clinic Program, LLC

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1366906455
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC
Practice address
4301 13TH St NW
Washington, DC 20011-5629
Phone
(202) 727-6501
Fax
(202) 727-6333
NPI assigned
Jan 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Stephanie Schneider
Title
VP
Phone
(702) 558-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4301 13TH St NW
Washington, DC 20011-5629

Mailing address

2000 15TH St N Ste 600
Arlington, VA 22201-2900
Phone (703) 558-1217

Other names 1

  • MGUH KMMC- School Health Center @ Roosevelt SHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guh Kids Mobile Medical Clinic Program LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4301 13th St NW
Washington, DC 20011
Phone (202) 423-4114

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1366906455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012900",
            "telephone_number": "703-558-1217",
            "fax_number": "703-558-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115629",
            "telephone_number": "202-727-6501",
            "fax_number": "202-727-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUH KIDS MOBILE MEDICAL CLINIC PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "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"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGUH KMMC- School Health Center @ Roosevelt SHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.