MEDPEDS LLC NPI 1093838609

NPI Information

  • NPI: 1093838609
  • Provider Name: MEDPEDS, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D0697479
  • Address: 7350 VAN DUSEN RD STE 130
    LAUREL, MD
    ZIP 20707
  • Phone: (301) 498-8880

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NPI Details

MEDPEDS, LLC is a family medicine in Laurel, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDPEDS, LLC NPI is 1093838609. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7350 VAN DUSEN RD STE 130
LAUREL, MD
ZIP 20707-267
Phone: (301) 498-8880
Fax: (301) 498-7939

The provider's authorized official is Seth Eaton .
The authorized official title is President and has the following contact phone number (301) 498-8880.

The CLIA number assigned to this NPI record is 21D0697479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 10/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineDISTRICT OF COLUMBIANo
2208000000XPediatricsDISTRICT OF COLUMBIANo
3207Q00000XFamily MedicineDISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G00330MEDICAIDDISTRICT OF COLUMBIA
2G00330MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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