Basic Information
| Provider Information | |||||||||
| NPI: | 1871755900 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARDEN-JARRETT | ||||||||
| FirstName: | ARIEL | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7580 BUCKINGHAM BLVD STE 220 | ||||||||
| Address2: | |||||||||
| City: | HANOVER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210763210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107295100 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4201 MITCHELLVILLE RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | BOWIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207163163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012625900 | ||||||||
| FaxNumber: | 4107410865 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2008 | ||||||||
| LastUpdateDate: | 12/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD39099 | DC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D0071800 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 332012000 | 05 | MD | MEDICAID | P19755 | 01 | MD | CAREFIRST POS | OTHER | 0118 | 01 | MD | CAREFIRST BLUECHOICE | OTHER | P00979005 | 01 | MD | RAILROAD MEDICARE | OTHER | 9246730 | 01 | MD | AETNA PPO | OTHER | 248173 | 01 | MD | EHP/PRIORITY PARTNERS | OTHER | 97479401 | 01 | MD | CAREFIRST BCBS | OTHER | 8092600 | 01 | MD | AETNA HMO | OTHER |