The Pediatric Care Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE PEDIATRIC CARE CENTER

Practice address

5612 Spruce Tree Ave
Bethesda, MD 20814-1626

Phone

(301) 564-5880

Fax

(301) 564-5889

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

THE PEDIATRIC CARE CENTERAs reported in NPPES

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

Authorized official

Name

Paul T Peebles, MD

Title

Director

Phone

(301) 564-5880

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

The Pediatric Care Center

Practitioners 8

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.

• Karin Marina Belsito, M.D.

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1174591481
  NPD (past)
• Virginia Grace Cohen, M.D.

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1336339431
  NPD (past)
• Mary Jeanne Dougherty, FNP-C

  • Family Nurse Practitioner
  • Bethesda, MD
  • NPI 1992319917
  NPD (past)
• Dana Lee Kornfeld, MD

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1700972817
  NPD (past)
• James Earl Mattey, MD

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1346336468
  NPD (past)
• Abigail Ann Rolle, MD

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1700589132
  NPD (past)
• Jennifer Apple Sussmann, MD

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1912093022
  NPD (past)
• Paul Russell Weiner, MD

  • Pediatrics Physician
  • Bethesda, MD
  • NPI 1760578884
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1659541803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 SPRUCE TREE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141626",
            "telephone_number": "301-564-5880",
            "fax_number": "301-564-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 SPRUCE TREE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141626",
            "telephone_number": "301-564-5880",
            "fax_number": "301-564-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PEDIATRIC CARE CENTER",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-564-5880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.