Healthcare Provider Details

I. General information

NPI: 1184435372
Provider Name (Legal Business Name): CHILDREN FIRST PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 GEORGIA AVE STE 106
SILVER SPRING MD
20902-5020
US

IV. Provider business mailing address

2301 RESEARCH BLVD STE 115
ROCKVILLE MD
20850-6544
US

V. Phone/Fax

Practice location:
  • Phone: 301-681-6000
  • Fax: 301-990-0471
Mailing address:
  • Phone: 301-990-1664
  • Fax: 301-990-0471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL BAKERSMITH
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-990-0137