Preventive Care Network Services PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREVENTIVE CARE NETWORK SERVICES PC

Practice address

9001 Woodyard Rd Ste C
Clinton, MD 20735

Phone

(301) 868-7333

Fax

(301) 868-9023

NPI assigned

Jan 2, 2007

Last updated

Aug 29, 2025By 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

Denise Herry

Title

Medical Coder/Biller

Phone

(301) 868-7333

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

Practitioners 5

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.

• Desmond Fritzroy Johnson, MD.

  • Internal Medicine Physician
  • Mitchellville, MD
  • NPI 1104960616

  DC

  Medicare reassignment Care Compare group NPD
• Victor E Herry

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1073642625

  DC

  Medicare reassignment Care Compare group
• Azeb Girma Kebede, NP

  • Nurse Practitioner
  • Silver Spring, MD
  • NPI 1174140990

  DC

  Medicare reassignment NPD
• Daniel Alphonza Nash Jr., MD

  • Nephrology Physician
  • Oxon Hill, MD
  • NPI 1124093083
  NPD (past)
• Yvonne Nicole Rudder, M.D.

  • Internal Medicine Physician
  • Riverdale, MD
  • NPI 1699804344
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1407913296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WOODYARD RD STE C",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354264",
            "telephone_number": "301-868-7333",
            "fax_number": "301-868-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WOODYARD RD STE C",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-868-7333",
            "fax_number": "301-868-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARE NETWORK SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "HERRY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MEDICAL CODER/BILLER",
        "authorized_official_telephone_number": "301-868-7333"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183731100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Rajesh Prajapati, PT
• Premier Health Care LLC
• Premier Health Care, LLC
• Premier Orthopedics, P.a.
• Monique Presbury, LCSW-C
• Prime Allergy & Asthma Care, LLC (Rosalyn Baker, MD MHS)
• Prince George's County Health (Southern Region Treatment Program)
• Prince George's County Health Department
• Prince George's County Health Department
• Prince George's County Health Department (Maternal Health and Family Planning)

• Internal Medicine Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.