Active NPI
The Physicians Group Chartered
- General Practice Physician
- Waldorf, MD
National Provider Identifier
1881780211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- H0042445
- Legal business name
- THE PHYSICIANS GROUP CHARTERED
- Practice address
- 601 Post Office Rd
Suite 1-a
Waldorf, MD 20602-1912 - Phone
- (301) 638-0186
- Fax
- (301) 843-6857
- NPI assigned
- Oct 5, 2006
- 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
- Dr. Michael Anthony Pimentel, DO
- Title
- Treasurer
- Phone
- (301) 638-0186
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0038147 | MD | |
| Internal Medicine Physician | 207R00000X | H0042445 | MD | |
| Pediatrics Physician | 208000000X | H0048020 | MD | |
| General Practice Physician | 208D00000X | H0042445 | MD | Primary |
Addresses
Primary practice location
601 Post Office Rd
Suite 1-a
Waldorf, MD 20602-1912
Mailing address
601 Post Office Rd
Suite 1-a
Waldorf, MD 20602-1912
Phone (301) 638-0186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203631200 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Waldorf, MD
- NPI 1538163365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1881780211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 POST OFFICE RD",
"address_2": "SUITE 1-A",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021912",
"telephone_number": "301-638-0186",
"fax_number": "301-843-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POST OFFICE RD",
"address_2": "SUITE 1-A",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021912",
"telephone_number": "301-638-0186",
"fax_number": "301-843-6857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PHYSICIANS GROUP CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "PIMENTEL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "301-638-0186",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0038147",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0042445",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MD",
"license": "H0048020",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "MD",
"license": "H0042445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203631200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- The Behavioral Intervention Rehabilitation and Development Project LLC
- The Elevated Mind Collective LLC
- The Institute for Emotional Regulation, LLC
- The Neurology Clinic, P.C.
- The Pediatric Autism Center, LLC
- The Physicians Group, Chartered
- The Silberman Dental Group
- The Therapeutic Healing Center, LLC
- The Unwritten Journey Counseling Services LLC
- The Waldorf Endoscopy ASC, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.