Active NPI
Marion Wendy Koso-Thomas, M.D
- Pediatrics Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD0056182
- Practice address
- 3815 Terrawood CT
Rockville, MD 20853-3288 - Phone
- (301) 570-4064
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD0056182 | MD | Primary |
Addresses
Primary practice location
3815 Terrawood CT
Rockville, MD 20853-3288
Mailing address
3815 Terrawood CT
Rockville, MD 20853-3288
Phone (301) 570-4064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
330 Seven Springs Way
Brentwood, TN 37027-5098
3416 Valley Brook Rd
Nashville, TN 37215-2021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0056182 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goddard Health Services Inc | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Pediatrics | Current | Accepting new patients |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Raleigh General Hospital LLC | Past | Accepting new patients | |
| Mep Health, LLC | Past | Accepting new patients |
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
201 S Main St
Ste 2100
Danville, VA 24541
Phone (434) 799-2111
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- marion.koso-thomas.1@20247.direct.athenahealth.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba SOVAH Physician Practices
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Pediatrics
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Home Health Agency
- Silver Spring, MD
- NPI 1285075473
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1720364649
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
dba Raleigh General Hospital
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467674937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 TERRAWOOD CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533288",
"telephone_number": "301-570-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 TERRAWOOD CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533288",
"telephone_number": "301-570-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSO-THOMAS",
"first_name": "MARION",
"middle_name": "WENDY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "MD0056182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.