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CLARKSBURG PEDIATRICS LLC
NPI 1073929386
Nurse Practitioner - Pediatrics in Clarksburg, MD

Active since July 08, 2014
23218 BREWERS TAVERN WAY, CLARKSBURG, MD 20871(301) 528-8181 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksburg Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSBURG PEDIATRICS LLC (NPI 1073929386) is a healthcare organization registered as a pediatrics in Clarksburg, Maryland and active in the NPI registry since July 2014. The organization lists Lauren Elizabeth Haley, Pediatric Primary Care Np, as its authorized official.

NPPES Registry Identity

NPI1073929386
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCLARKSBURG PEDIATRICS LLC
Location Address23218 BREWERS TAVERN WAYClarksburg, MD 20871-4391
Mailing Address23218 Brewers Tavern WayClarksburg, MD 20871-4391 · (301) 528-8181
Phone(301) 528-8181
Organization SubpartNo
Authorized OfficialLauren Elizabeth HaleyPediatric Primary Care Np · (301) 412-7278
Enumeration DateJuly 8, 2014
✔ NPI 1073929386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R186838
23218 BREWERS TAVERN WAY, Clarksburg, MD 20871
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARMINA M RAHMAN MD
Pediatrics
23218 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 528-8181
MRS. LAUREN ELIZABETH PALMER CPNP
Nurse Practitioner (Pediatrics)
23218 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 528-8181
CLARKSBURG PEDIATRICS, L.L.C.
Pediatrics
23218 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 528-8181
DR. TAMIMA HOSSAIN D.O.
Pediatrics
23218 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 528-8181
DR. RADHIKA JAYARAJ MANIKUMAR M.D.
Pediatrics
23218 BREWERS TAVERN WAY
CLARKSBURG, MD 20871
Montgomery County (301) 528-8181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarksburg Pediatrics LLC's NPI number?

The NPI number for Clarksburg Pediatrics LLC is 1073929386. It was assigned to this organization in the NPPES registry on July 8, 2014.

Where is Clarksburg Pediatrics LLC located?

Clarksburg Pediatrics LLC is located at 23218 Brewers Tavern Way, Clarksburg, MD 20871. The listed phone number is (301) 528-8181.

What is Clarksburg Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Clarksburg Pediatrics LLC was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.