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PACE & LEATHERWOOD, PC
NPI 1912975277
Family Medicine in Waldorf, MD

Active since March 10, 2006
12070 OLD LINE CTR, SUITE 302, WALDORF, MD 20602(301) 645-6667(301) 870-9722 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pace & Leatherwood, Pc NPPES

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

PACE & LEATHERWOOD, PC (NPI 1912975277) is a healthcare organization registered as a family medicine in Waldorf, Maryland and active in the NPI registry since March 2006. The organization lists Tammy M Breitenbach, Medical Manager, as its authorized official.

NPPES Registry Identity

NPI1912975277
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACE & LEATHERWOOD, PC
Location Address12070 OLD LINE CTR, SUITE 302Waldorf, MD 20602-2513
Mailing AddressPo Box 249Waldorf, MD 20604-0249 · (301) 645-6667 · Fax (301) 870-9722
Phone(301) 645-6667
Fax(301) 870-9722
Organization SubpartNo
Authorized OfficialTammy M BreitenbachMedical Manager · (301) 645-6667
Enumeration DateMarch 10, 2006
Last NPPES UpdateApril 10, 2008
✔ NPI 1912975277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
12070 OLD LINE CTR, Waldorf, MD 20602
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Other Identifiers 3

Medicaid371231100MD
Medicare PINCN1724GA
Medicare PIN065LMD

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

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.

WILLIAM JOHN OETGEN M.D.
Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Charles County (301) 705-7870
SEETARAMAYYA NAGULA M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-8035
JOSEPH RAYMOND MURPHY M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
MS. JENNIFER LYNN KNODE PAC
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Charles County (301) 870-0660
JESSICA KHOURY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Charles County (301) 870-4100
DR. DAWN STEPHANIE CHRISTOPHER MD
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Charles County (301) 645-5100
ROBERT TIMOTHY PACE MD
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
TERENCE BERTELE M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Charles County (301) 645-5100

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 Pace & Leatherwood, PC's NPI number?

The NPI number for Pace & Leatherwood, PC is 1912975277. It was assigned to this organization in the NPPES registry on March 10, 2006.

Where is Pace & Leatherwood, PC located?

Pace & Leatherwood, PC is located at 12070 Old Line Ctr Suite 302, Waldorf, MD 20602. The listed phone number is (301) 645-6667.

What is Pace & Leatherwood, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pace & Leatherwood, PC was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.