Healthcare Provider Details

I. General information

NPI: 1689613267
Provider Name (Legal Business Name): THOMAS L. PINCKERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BLACKWELL RD STE 220
ROCKVILLE MD
20850-6491
US

IV. Provider business mailing address

5801 POSTAL RD UNIT 81310
CLEVELAND OH
44181-2112
US

V. Phone/Fax

Practice location:
  • Phone: 301-279-6060
  • Fax: 301-279-6345
Mailing address:
  • Phone: 301-340-8339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberDOO47194
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberDOO47194
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: