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PREVENTIVE CARE NETWORK SERVICES PC
NPI 1407913296
Internal Medicine in Clinton, MD

Active since January 02, 2007CLIA 21D1013981 · Waiver
9001 WOODYARD RD STE C, CLINTON, MD 20735(301) 868-7333(301) 868-9023 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Preventive Care Network Services Pc NPPES

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

PREVENTIVE CARE NETWORK SERVICES PC (NPI 1407913296) is a healthcare organization registered as an internal medicine in Clinton, Maryland and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Denise Herry, Medical Coder/biller, as its authorized official.

NPPES Registry Identity

NPI1407913296
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREVENTIVE CARE NETWORK SERVICES PC
Location Address9001 WOODYARD RD STE CClinton, MD 20735
Mailing Address9001 Woodyard Rd Ste CClinton, MD 20735-4264 · (301) 868-7333 · Fax (301) 868-9023
Phone(301) 868-7333
Fax(301) 868-9023
Organization SubpartNo
Authorized OfficialDenise HerryMedical Coder/biller · (301) 868-7333
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1407913296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9001 WOODYARD RD STE C, Clinton, MD 20735
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Other Identifiers 1

Medicaid183731100MD

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1013981

Preventive Care Network Services PC · Clinton, MD
Active · expires Sep 27, 2026
CLIA Number21D1013981
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorVictor E. Herry MD
Laboratory Phone(301) 868-7333
Laboratory LocationPreventive Care Network Services PC9001 Woodyard Road, Suite C, Clinton, MD 20735
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. VICTOR E HERRY
Internal Medicine
9001 WOODYARD RD STE C
CLINTON, MD 20735
Prince George's County (301) 868-7333
SYNERGENIX DIAGNOSTICS
Clinical Medical Laboratory
9001 WOODYARD RD STE C
CLINTON, MD 20735
Prince George's County (202) 607-3875
KIOMI NELSON
Nurse Practitioner (Adult Health)
9001 WOODYARD RD STE C
CLINTON, MD 20735
Prince George's County (301) 868-7333

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 Preventive Care Network Services PC's NPI number?

The NPI number for Preventive Care Network Services PC is 1407913296. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Preventive Care Network Services PC located?

Preventive Care Network Services PC is located at 9001 Woodyard Rd Ste C, Clinton, MD 20735. The listed phone number is (301) 868-7333.

What is Preventive Care Network Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Preventive Care Network Services PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1013981) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Preventive Care Network Services PC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.