PEDIATRIC CLINIC, LLC
NPI 1861785412
Pediatrics in Hagerstown, MD

Q: What is Pediatric Clinic, LLC's NPI number?

The NPI number for Pediatric Clinic, LLC is 1861785412. It was assigned to this organization in the NPPES registry on May 16, 2011.

Q: What is Pediatric Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 16, 2011

324 E ANTIETAM ST, SUITE 200, HAGERSTOWN, MD 21740(301) 733-2890(301) 733-2917 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Clinic, Llc NPPES

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

PEDIATRIC CLINIC, LLC (NPI 1861785412) is a healthcare organization registered as a pediatrics in Hagerstown, Maryland and active in the NPI registry since May 2011. The organization lists Jackson Maina Nganga, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861785412

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC CLINIC, LLC

Location Address324 E ANTIETAM ST, SUITE 200Hagerstown, MD 21740-5754

Mailing Address324 E Antietam St, Suite 200Hagerstown, MD 21740-5754 · (301) 733-2890 · Fax (301) 733-2917

Phone(301) 733-2890

Fax(301) 733-2917

Organization SubpartNo

Authorized OfficialJackson Maina NgangaMedical Director · (301) 733-2890

Enumeration DateMay 16, 2011

✔ NPI 1861785412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

324 E ANTIETAM ST, Hagerstown, MD 21740

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Other Identifiers 1

Medicare UPINH16494WV

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 19

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

LINDA GRAY JONES R. PH.

Pharmacist

324 E ANTIETAM ST
HAGERSTOWN, MD 21740

Washington County (301) 790-1773

SAMUEL CHAN, M.D.

Community Health Worker

324 E ANTIETAM ST, SUITE 200
HAGERSTOWN, MD 21740

Washington County (301) 797-8822

EHAB SHALABY MD, PA

Specialist

324 E ANTIETAM ST, SUITE 306A
HAGERSTOWN, MD 21740

Washington County (240) 469-3002

NOOR MAQSOOD SIDDIQUI M.D.

Family Medicine

324 E ANTIETAM ST, SUITE 305
HAGERSTOWN, MD 21740

Washington County (301) 791-2510

ALLEGHENY PLASTIC SURGERY, ARYEH L HERRERA, M.D., P.A.

Plastic Surgery

324 E ANTIETAM ST, SUITE 303
HAGERSTOWN, MD 21740

Washington County (301) 739-7790

REHABILITATION PRACTITIONERS INC

Prosthetic/Orthotic Supplier

324 E ANTIETAM ST, STE 300
HAGERSTOWN, MD 21740

Washington County (301) 739-5060

PAUL OAKES LCPC-S

Counselor (Mental Health)

324 E ANTIETAM ST, SUITE 104
HAGERSTOWN, MD 21740

Washington County (301) 800-6512

INTERSTATE PSYCHAITRIC CARE

Psychiatry & Neurology (Psychiatry)

324 E ANTIETAM ST, SUITE 307-A
HAGERSTOWN, MD 21740

Washington County (609) 575-0083

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 Pediatric Clinic, LLC's NPI number?

The NPI number for Pediatric Clinic, LLC is 1861785412. It was assigned to this organization in the NPPES registry on May 16, 2011.

Where is Pediatric Clinic, LLC located?

Pediatric Clinic, LLC is located at 324 E Antietam St Suite 200, Hagerstown, MD 21740. The listed phone number is (301) 733-2890.

What is Pediatric Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pediatric Clinic, LLC was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.