Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prince George's County Health Department

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1083102438

Prince George's County Health Department is an Adolescent Medicine (Family Medicine) Physician in Oxon Hill, Maryland. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

6701 Leyte Dr
Oxon Hill, MD 20745
Phone: (240) 724-1442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X

Record details

NPI number1083102438
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrince George's County Health Department
Authorized official Tamala Butler — Credentialing Specialist · (301) 883-7822
Other names Oxon Hill- School Based Wellness; Prince George'S County Health Department-Sbw- Oxon Hill
NPI enumeratedMay 1, 2018
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing address1701 McCormick Dr Ste 120, Largo, MD 20774-5329