Waterfront Medical, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WATERFRONT MEDICAL, LLC

Practice address

7 Post Office Rd Ste M
Waldorf, MD 20602-2744

Phone

(240) 270-1069

Fax

(301) 560-8244

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Patty L Taylor

Title

Coo

Phone

(240) 788-3557

Specialties & licenses 2

Addresses

Other names 1

• THE HEADACHE CLINIC Doing business as

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1528933934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD STE M",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "240-270-1069",
            "fax_number": "301-560-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD STE M",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "240-270-1069",
            "fax_number": "301-560-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-788-3557"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE HEADACHE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latoya Vernita Washington
• Richella N Washington, LCPC
• Tiffany Washington
• Zackery Washington
• Washington'S Purplel Hearts
• George H Wathen, MD PA
• Ili Wathen, PA-C
• Christine Watkins
• Nicole Renee Watkins
• Casey Watson

• Neurology Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.