Cheverly Primary Care, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R135181 Issued in MD

Legal business name

CHEVERLY PRIMARY CARE, INC.

Practice address

6490 Landover Rd Ste G
Cheverly, MD 20785

Phone

(301) 322-8000

Fax

(301) 322-1757

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Sharon Anderson, DNP, CRNPNPI 1598044026

Title

President

Phone

(301) 919-5316

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16629/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Sharon Anderson, CRNP

  • Family Nurse Practitioner
  • Cheverly, MD
  • NPI 1598044026
  NPD Authorized official

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1366960593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE G",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "301-322-8000",
            "fax_number": "301-322-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE G",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-322-8000",
            "fax_number": "301-322-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVERLY PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-919-5316",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R135181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Che, HHA
• Ruth Bih Che
• Jamie Chen, CRNA
• Ravikiran A Cherukuri, M.D.
• Cheverly Pediatrics
• Cheverly Women Healthcare Inc.
• Nelson Cho
• Citadel Behavioral Healthcare Consulting LLC
• Citadel Behavioral Healthcare Consulting LLC
• Leeroy Mark Clarke, M.D.

• Primary Care Clinic/Center in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.