Active NPI
Takoma Park Gynecology LLC
- Advanced Practice Midwife
- Takoma Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Legal business name
- TAKOMA PARK GYNECOLOGY LLC
- Practice address
- 7050 Carroll
Suite 201
Takoma Park, MD 20912 - Phone
- (301) 960-1155
- Fax
- (301) 690-0097
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carina Ryder, CNM
- Title
- Practitioner
- Phone
- (301) 960-1155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
7050 Carroll
Suite 201
Takoma Park, MD 20912
Mailing address
7050 Carroll
Suite 201
Takoma Park, MD 20912
Phone (301) 960-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2240648 | Takoma Park Gynecology | Provider-performed microscopy | Oct 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
7050 Carroll Ave
Ste 201
Takoma Park, MD 20912
Phone (301) 960-1155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Washington, DC
- NPI 1497195861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1841898426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 CARROLL",
"address_2": "SUITE 201",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "20912",
"telephone_number": "301-960-1155",
"fax_number": "301-690-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 CARROLL",
"address_2": "SUITE 201",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "20912",
"telephone_number": "301-960-1155",
"fax_number": "301-690-0097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKOMA PARK GYNECOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "RYDER",
"authorized_official_first_name": "CARINA",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "301-960-1155",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.