Provider Demographics
NPI:1871755900
Name:WARDEN-JARRETT, ARIEL J (MD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:J
Last Name:WARDEN-JARRETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 BUCKINGHAM BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3210
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:
Practice Address - Street 1:4201 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3163
Practice Address - Country:US
Practice Address - Phone:301-262-5900
Practice Address - Fax:410-741-0865
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD39099207Q00000X
MDD0071800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD332012000Medicaid
MDP19755OtherCAREFIRST POS
MD0118OtherCAREFIRST BLUECHOICE
MDP00979005OtherRAILROAD MEDICARE
MD9246730OtherAETNA PPO
MD248173OtherEHP/PRIORITY PARTNERS
MD97479401OtherCAREFIRST BCBS
MD8092600OtherAETNA HMO
MD248173OtherEHP/PRIORITY PARTNERS