PIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE
NPI 1538894340
Nurse Practitioner - Family in Edgewater, MD

Active since July 18, 2022
3169 BRAVERTON ST STE 102, EDGEWATER, MD 21037(240) 694-8504 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pioneer Medical Center Leading The Way In Healthcare NPPES

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

PIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE (NPI 1538894340) is a healthcare organization registered as a family in Edgewater, Maryland and active in the NPI registry since July 2022. The organization lists Leslie Duncan, Owner, as its authorized official.

NPPES Registry Identity

NPI1538894340
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePIONEER MEDICAL CENTER LEADING THE WAY IN HEALTHCARE
Location Address3169 BRAVERTON ST STE 102Edgewater, MD 21037-2666
Mailing Address12908 Golden Oak DrLaurel, MD 20708-2330 · (240) 694-8504
Organization SubpartNo
Authorized OfficialLeslie DuncanOwner · (240) 694-8504
Enumeration DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1538894340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3169 BRAVERTON ST STE 102, Edgewater, MD 21037

Other Identifiers 1

Medicaid1552589MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pioneer Medical Center Leading The Way In Healthcare's NPI number?

The NPI number for Pioneer Medical Center Leading The Way In Healthcare is 1538894340. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is Pioneer Medical Center Leading The Way In Healthcare located?

Pioneer Medical Center Leading The Way In Healthcare is located at 3169 Braverton St Ste 102, Edgewater, MD 21037. The listed phone number is (240) 694-8504.

What is Pioneer Medical Center Leading The Way In Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pioneer Medical Center Leading The Way In Healthcare was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.