McLaren Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101236776 Issued in VA

Legal business name

MCLAREN MEDICAL CENTER PC

Practice address

3606 Forest Dr
Ste B
Alexandria, VA 22302-1005

Phone

(240) 417-6424

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Abdulkareem I Kraidy, M.D.

Title

Owner

Phone

(240) 417-6424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer L McManus, C.R.N.P

  • Family Nurse Practitioner
  • Waldorf, MD
  • NPI 1689919961
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1871991729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 PORT TOBACCO RD",
            "city": "NANJEMOY",
            "state": "MD",
            "postal_code": "206623317",
            "telephone_number": "240-417-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 FOREST DR",
            "address_2": "STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021005",
            "telephone_number": "240-417-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "KRAIDY",
        "authorized_official_first_name": "ABDULKAREEM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-417-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shinavia McKinney
• Simone A McKitty, M.D.
• Felicia Teona McKnight Gray
• Alice McKnight, MD
• Melissa R McKnight, LCSW
• Czarina McLaughlin-Young, PA-C
• Kathryn A McLaughlin, MS
• Mia McLaughlin
• Shannon Stafford McLaughlin
• Jeremy McLemore, PHARMD

• Family Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.