MEDICARE: PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC

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	363L00000X	Nurse Practitioner
2	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1245663434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC

Provider Business Mailing Address
First Line	:	1225 4TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3431
Country	:	US
Telephone Number	:	202-347-8512
Fax Number	:

Provider Business Practice Location Address
First Line	:	19650 CLUB HOUSE RD STE 101
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-3003
Country	:	US
Telephone Number	:	301-208-1300
Fax Number	:	301-208-8699

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	TAKINA WILSON
Credential	:
Telephone Number	:	410-591-4273

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	04/03/2025

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Directions to “PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC ” Practice Location

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