Cheverly Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D38739 Issued in MD

Legal business name

CHEVERLY PEDIATRICS

Practice address

6490 Landover Rd Ste G
Cheverly, MD 20785-1443

Phone

(301) 322-1117

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maislyn Annmarie Christie

Title

Physician

Phone

(301) 322-1117

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1932457587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE G",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "301-322-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE G",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "301-322-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVERLY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "MAISLYN",
        "authorized_official_middle_name": "ANNMARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-322-1117",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D38739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083491200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheverly Primary Care, Inc.
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• Nelson Cho
• Citadel Behavioral Healthcare Consulting LLC
• Citadel Behavioral Healthcare Consulting LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.