Pioneer Medical Center Leading the Way in Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE

Practice address

3169 Braverton St Ste 102
Edgewater, MD 21037-2666

Phone

(240) 694-8504

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By 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

Leslie Duncan, CRNPNPI 1265082978

Title

Owner

Phone

(240) 694-8504

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Leslie Duncan, CRNP

  • Family Nurse Practitioner
  • Laurel, MD
  • NPI 1265082978
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1538894340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12908 GOLDEN OAK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082330",
            "telephone_number": "240-694-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 BRAVERTON ST STE 102",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372666",
            "telephone_number": "240-694-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-694-8504",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552589",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendelyn Mary Phelan
• Ana Maria A Phillips, LCSWC
• Kimberly Ann Phipps, OTR
• Stephanie Pierce, RN, MSN
• Pink Heart Health Services & Academy LLC (Cully's Caring Cove)
• Kennon Plummer, M.D.
• Linda Anne Poore, OTR
• Neven A Popovic, M.D.
• Precision Orthopedics and Sports Medicine (Precision Orthopedics and Sports Medicine - Edgewater)
• Howard Ira Pressman, MD

• Family Nurse Practitioner in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.