Active NPI
Growth and Wellness Pediatrics, LLC
- Pediatrics Physician
- Bethesda, MD
National Provider Identifier
1881051951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D53480
- Legal business name
- GROWTH AND WELLNESS PEDIATRICS, LLC
- Practice address
- 10401 Old Georgetown Rd
Suite 304
Bethesda, MD 20814-1911 - Phone
- (240) 630-8882
- NPI assigned
- Jan 20, 2016
- 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
- Gail Warner, MD
- Title
- Owner/Physician
- Phone
- (240) 630-8882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D53480 | MD | Primary |
Addresses
Primary practice location
10401 Old Georgetown Rd
Suite 304
Bethesda, MD 20814-1911
Mailing address
10401 Old Georgetown Rd
Suite 304
Bethesda, MD 20814-1911
Phone (240) 630-8882
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 |
|---|---|---|---|
| 21D2104650 | Growth and Wellness Pediatrics, LLC | Certificate of waiver | Nov 9, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1881051951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 OLD GEORGETOWN RD",
"address_2": "SUITE 304",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141911",
"telephone_number": "240-630-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 OLD GEORGETOWN RD",
"address_2": "SUITE 304",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141911",
"telephone_number": "240-630-8882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWTH AND WELLNESS PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "240-630-8882",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MD",
"license": "D53480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.