PM KIDS PLUS NPI 1144947797

NPI Information

  • NPI: 1144947797
  • Provider Name: PM KIDS PLUS
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 603 POST OFFICE RD STE 106
    WALDORF, MD
    ZIP 20602
  • Phone: (240) 585-7128

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NPI Details

PM KIDS PLUS is a developmental - behavioral pediatrics pediatrics in Waldorf, MD. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. PM KIDS PLUS NPI is 1144947797. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

603 POST OFFICE RD STE 106
WALDORF, MD
ZIP 20602-914
Phone: (240) 585-7128
Fax: (240) 607-6749

The provider's authorized official is Wali Gauvin .
The authorized official title is Co-owner and has the following contact phone number (240) 585-7128.

The enumeration date for this NPI number is 10/25/2022 and was last updated on 11/1/2022.

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
1208000000XPediatricsNo
22080P0202XPediatricsPediatric CardiologyNo
3235Z00000XSpeech-Language PathologistNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
52080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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
1961018900MEDICAIDMARYLAND

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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