MEDICARE: SPRING PEDIATRICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0082579	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194099788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING PEDIATRICS INC

Provider Business Mailing Address
First Line	:	10750 COLUMBIA PIKE STE 230
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4454
Country	:	US
Telephone Number	:	301-585-9600
Fax Number	:	301-585-5888

Provider Business Practice Location Address
First Line	:	10750 COLUMBIA PIKE STE 230
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4454
Country	:	US
Telephone Number	:	301-585-9600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTONIO E. CORNIER
Credential	:	MD
Telephone Number	:	301-585-9600

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	09/06/2025

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Directions to “SPRING PEDIATRICS INC ” Practice Location

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