NPIMap

Organization Active NPI

Montgomery Women's Medical Center, P.C.

Doing business as Montgomery Fertility Center

  • Reproductive Endocrinology Physician
  • Rockville, MD
National Provider Identifier
1013325125
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
D0044906 Issued in MD
Legal business name
MONTGOMERY WOMEN'S MEDICAL CENTER, P.C.
Doing business as
Montgomery Fertility Center
Practice address
3202 Tower Oaks Blvd
Suite # 370
Rockville, MD 20852-4219
Phone
(301) 946-6962
Fax
(301) 946-6022
NPI assigned
Aug 1, 2014
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Oluyemisi Famuyiwa, M.D.NPI 1710090394
Title
Medical Director
Phone
(301) 946-6962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X D0044906 MD Primary

Addresses

Primary practice location

3202 Tower Oaks Blvd
Suite # 370
Rockville, MD 20852-4219

Mailing address

3202 Tower Oaks Blvd
Suite # 370
Rockville, MD 20852-4219
Phone (301) 946-6962

Other identifiers 1

IdentifierTypeStateIssuer
676300600MedicaidMD

Other names 1

  • Montgomery Fertility Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1013325125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "address_2": "SUITE # 370",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-946-6962",
            "fax_number": "301-946-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "address_2": "SUITE # 370",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "301-946-6962",
            "fax_number": "301-946-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY WOMEN'S MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "FAMUYIWA",
        "authorized_official_first_name": "OLUYEMISI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-946-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D0044906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676300600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Fertility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.