Jericho De Mata, DO
Jericho De Mata, DO is an Emergency Medicine in Upper Marlboro, Maryland. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia, Maryland and Virginia.
- Years since qualifying
- 12
- Licensed in
- DC, MD, VA
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1221 Mercantile LnUpper Marlboro, MD 20774-5374
Phone: (301) 618-5500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2139 Georgia Ave Nw Ste 3b, Washington, DC 20001-3006 — (202) 865-6100
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence H83783 (MD) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD045539 (DC) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 0102205000 (VA) |
Record details
| NPI number | 1275950396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 26, 2014 |
| Last updated in NPPES | June 20, 2021 |
| Certification date | June 20, 2021 |
| Mailing address | 2101 E Jefferson St Ste 6w, Rockville, MD 20852-4908 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Upper Marlboro
-
Dr. Arnulfo B Bonavente, MD
6409 Crain Hwy Route 301, Upper Marlboro, MD 20772-4139 · (301) 952-8614
-
Dr. Madeline Nicole Bota Brown, MD
9109 Garden Knoll Ln, Upper Marlboro, MD 20772-2519 · (484) 350-8082
-
Katrina Castillo, MD
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 · (301) 618-5500
-
Comprehensive Healthcare & Wellness Services LLC
1014 Andean Goose Way, Upper Marlboro, MD 20774-7128 · (240) 508-3363
-
Icarenow LLC
20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 · (301) 350-8501
-
Icarenow LLC
20 Watkins Park Dr, Upper Marlboro, MD 20774-1665 · (301) 350-8501
-
Dr. Aysha Khan, MD
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 · (301) 618-5500
-
Hannah Korman, MD
13400 Edgemeade Rd, Upper Marlboro, MD 20772 · (240) 681-6000