| Riderwood Medical Center | |
|
3110 Gracefield Rd Silver Spring MD 20904-1820 | |
| (301) 572-8340 | |
| (301) 572-8403 |
| Full Name | Riderwood Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3110 Gracefield Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Matthew J Narrett (SENIOR VP AND CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4104022257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riderwood Medical Center 5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (301) 572-8340 | Riderwood Medical Center 3110 Gracefield Rd Silver Spring MD 20904-1820 Ph: (301) 572-8340 |
| NPI Number | 1205856549 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 2860304136 |
|---|---|
| Medicare Enrollment ID | O20031104000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205856549 | NPI | - | NPPES |
| 9680-0059 | Other | BCBS OF DC | |
| 0008 | Other | CAREFIRST BCBS | |
| 42455801 | Other | BCBS MD | |
| T016 | Other | BCBS DC | |
| 04-04109 | Other | EVERCARE | |
| 400550300 | Medicaid | MD | |
| 008203102 | Medicaid | MD | |
| 0943-SE-881489-01 | Other | BCBS OF MD | |
| 138CSE | Other | BCBS MD |
| Provider Name | Lynne D Diggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306835475 PECOS PAC ID: 7012815624 Enrollment ID: I20031220000025 |
| Provider Name | Mark A Parkhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629154539 PECOS PAC ID: 7618863051 Enrollment ID: I20040224000497 |
| Provider Name | Loveen Puthumana |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235175043 PECOS PAC ID: 7911997689 Enrollment ID: I20040514000435 |
| Provider Name | Michael Westerman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013929181 PECOS PAC ID: 2769463322 Enrollment ID: I20040528000421 |
| Provider Name | Roberta L Worrall Feldhausen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841222973 PECOS PAC ID: 9032175153 Enrollment ID: I20041209000471 |
| Provider Name | Andrew Kundrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366467607 PECOS PAC ID: 6002840063 Enrollment ID: I20050920000909 |
| Provider Name | Roberto F Araujo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609805571 PECOS PAC ID: 7618918913 Enrollment ID: I20051222000139 |
| Provider Name | Wendy W De Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649200825 PECOS PAC ID: 1355385949 Enrollment ID: I20070222000336 |
| Provider Name | Deborah A Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538214382 PECOS PAC ID: 3870692502 Enrollment ID: I20070621000252 |
| Provider Name | Stanley R Silverman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801814637 PECOS PAC ID: 0143297424 Enrollment ID: I20070716000524 |
| Provider Name | Roy E Fried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881626059 PECOS PAC ID: 0143396762 Enrollment ID: I20080905000273 |
| Provider Name | Thomas F Morris |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326056045 PECOS PAC ID: 6901861251 Enrollment ID: I20120124000393 |
| Provider Name | Patricia B O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356351233 PECOS PAC ID: 4880832344 Enrollment ID: I20130523000274 |
| Provider Name | Emmanuel Osei Boamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639282460 PECOS PAC ID: 6901802495 Enrollment ID: I20131112000731 |
| Provider Name | Aubin K Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578709 PECOS PAC ID: 9234458084 Enrollment ID: I20150429002076 |
| Provider Name | Alpna D Asnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821277948 PECOS PAC ID: 8426146606 Enrollment ID: I20160317001801 |
| Provider Name | Shannon L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922599984 PECOS PAC ID: 9931454659 Enrollment ID: I20210203001033 |
| Provider Name | Martin N Nzefeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427317080 PECOS PAC ID: 6608278064 Enrollment ID: I20220711000373 |
| Provider Name | Lauren P Sweetser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154528396 PECOS PAC ID: 9436283272 Enrollment ID: I20230202000968 |
| Provider Name | Donna J Servedio O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538867981 PECOS PAC ID: 6507231370 Enrollment ID: I20230408000176 |
| Provider Name | Kenderlate Arthus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043980550 PECOS PAC ID: 8527423326 Enrollment ID: I20230501001936 |
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