Medlantic Health Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDLANTIC HEALTH GROUP

Doing business as

MedStar Physician Partners

Practice address

6410 Rockledge Dr
Suite 401
Bethesda, MD 20817-1809

Phone

(301) 897-5001

Fax

(301) 897-5193

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By 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

Alicia Nicola Llewellyn

Title

Area Administrator

Phone

(202) 546-4504

Specialties & licenses 1

Addresses

Other names 1

• MedStar Physician Partners Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942250691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-897-5001",
            "fax_number": "301-897-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-897-5001",
            "fax_number": "301-897-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLANTIC HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "NICOLA",
        "authorized_official_title_or_position": "AREA ADMINISTRATOR",
        "authorized_official_telephone_number": "202-546-4504"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar Physician Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keisha Medina Diaz
• Justo Javier Medina, MD
• Kenya V Medina
• Toni Medina
• Yvonne Medina, LPN
• Paula Medley
• Medlink Solutions LLC
• Medone, LLC
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC

• Clinical Medical Laboratory in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.