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WALDORF PRIMARY CARE LLC
NPI 1356598379
Clinic/Center - Primary Care in Waldorf, MD

Active since August 20, 2008
3460 OLD WASHINGTON RD, SUITE 103, WALDORF, MD 20602(301) 638-0001(301) 638-5454 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waldorf Primary Care Llc NPPES

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

WALDORF PRIMARY CARE LLC (NPI 1356598379) is a healthcare organization registered as a primary care in Waldorf, Maryland and active in the NPI registry since August 2008. The organization lists Karlene Vanessa Ross, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356598379
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWALDORF PRIMARY CARE LLC
Location Address3460 OLD WASHINGTON RD, SUITE 103Waldorf, MD 20602-3240
Mailing Address3460 Old Washington Rd, Suite 103Waldorf, MD 20602-3240 · (301) 638-0001 · Fax (301) 638-5454
Phone(301) 638-0001
Fax(301) 638-5454
Organization SubpartNo
Authorized OfficialKarlene Vanessa RossMedical Director · (301) 638-0001
Enumeration DateAugust 20, 2008
Last NPPES UpdateNovember 20, 2008
✔ NPI 1356598379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D0066434
3460 OLD WASHINGTON RD, Waldorf, MD 20602
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH49353

Other Providers at the Same Location NPPES 20

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

DR. RICHARD JAMES BROUILLETTE DO
Pain Medicine (Interventional Pain Medicine)
3460 OLD WASHINGTON RD, SUITE 300
WALDORF, MD 20602
Charles County (301) 645-1523
FELIX J AGUTO, DDS, PA
Dentist
3460 OLD WASHINGTON RD, SUITE #200
WALDORF, MD 20602
Charles County (301) 645-6556
CORYSE BRATHWAITE-DEAN, MD, PC
Clinic/Center (Medical Specialty)
3460 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 705-6500
OMAR F. AHMAD, M.D., P.C.
Ophthalmology
3460 OLD WASHINGTON RD, SUITE 302
WALDORF, MD 20602
Charles County (301) 893-3484
CENTER FOR PAIN MANAGEMENT ,LLC
Pain Medicine (Interventional Pain Medicine)
3460 OLD WASHINGTON RD, SUITE 300
WALDORF, MD 20602
Charles County (301) 645-1523
PHARMVUE CORPORATION
Pharmacy
3460 OLD WASHINGTON RD, SUITE 103
WALDORF, MD 20602
Charles County (301) 645-2400
DR. KARLENE VANESSA ROSS M.D.
Family Medicine
3460 OLD WASHINGTON RD, SUITE #103
WALDORF, MD 20602
Charles County (301) 638-0001
DR. FELIX JOSEPH AGUTO III D.D.S.
Dentist (Pediatric Dentistry)
3460 OLD WASHINGTON RD, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-6556

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 Waldorf Primary Care LLC's NPI number?

The NPI number for Waldorf Primary Care LLC is 1356598379. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Waldorf Primary Care LLC located?

Waldorf Primary Care LLC is located at 3460 Old Washington Rd Suite 103, Waldorf, MD 20602. The listed phone number is (301) 638-0001.

What is Waldorf Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Waldorf Primary Care LLC was last updated on November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.