Healthcare Provider Details

I. General information

NPI: 1932440856
Provider Name (Legal Business Name): PALLIATIVE MEDICINE CONSULTANTS OF GREATER WASHINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9905 MEDICAL CENTER DR
ROCKVILLE MD
20850-6533
US

IV. Provider business mailing address

700 KING FARM BLVD STE 400
ROCKVILLE MD
20850-5749
US

V. Phone/Fax

Practice location:
  • Phone: 301-921-4400
  • Fax: 301-921-4433
Mailing address:
  • Phone: 301-921-4400
  • Fax: 301-921-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT THELEN
Title or Position: CFO
Credential:
Phone: 301-921-4400