| Developmental Pediatrics | |
|
10630 Little Patuxent Pkwy Suite 125 Columbia MD 21044-3264 | |
| (410) 995-5437 | |
| (301) 596-3364 |
| Full Name | Developmental Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10630 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Henri F. Walker Merrick (PRESIDENT) |
| Authorized Official Contact | 3015963363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developmental Pediatrics 10630 Little Patuxent Pkwy Suite 125 Columbia MD 21044-3264 Ph: (410) 995-5437 | Developmental Pediatrics 10630 Little Patuxent Pkwy Suite 125 Columbia MD 21044-3264 Ph: (410) 995-5437 |
| NPI Number | 1790901825 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790901825 | NPI | - | NPPES |
| 07105 | Other | AMERICAID | |
| 0778 | Other | DC | CAREFIRST NATIONAL CAPITA |
| 2711674004 | Other | CIGNA | |
| KU63 | Other | MD | MARYLAND CAREFIRST |
| 1200527 | Other | UNITED HEALTHCARE | |
| 21910 | Other | PRIORITY PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0034745 (Maryland) | Primary |
Ethos Health Maryland 3 LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 |
Lorien Dialysis, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 |
Premier Medical Group of Maryland LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 350, Columbia, MD 21044 Phone: 410-709-7432 |
University of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5900 Waterloo Rd Ste 120, Columbia, MD 21045 Phone: 667-214-2300 |
Jhcp-8820 Columbia 100 Pkwy Ste 400-provider Type: 20-physician Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 Columbia 100 Pkwy Ste 400, Columbia, MD 21045 Phone: 443-939-9600 |
Jhu - 11085 Little Patuxent Pkwy Ste 101 - Provider Type: 20-physicia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11085 Little Patuxent Pkwy Ste 101, Columbia, MD 21044 Phone: 410-760-8840 |