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GERALD FAMILY CARE NPI 1407056336


NPI Information

NPI: 1407056336
Provider Name: GERALD FAMILY CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 09D0881438

Address:
1160 VARNUM ST NE
STE 117
WASHINGTON, DC
ZIP 20017
Phone: (202) 832-7007
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GERALD FAMILY CARE is a family medicine in Washington, DC. 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. GERALD FAMILY CARE NPI is 1407056336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1160 VARNUM ST NE
STE 117
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 832-7007
Fax: (202) 529-5290

The provider's authorized official is Kimberly Stewart .
The authorized official title is Billing Manager and has the following contact phone number (301) 773-3752.

The CLIA number assigned to this NPI record is 09D0881438 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 12/11/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18702OTHERDISTRICT OF COLUMBIABCBS
2409561MEDICARE 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: 4/28/2024

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