Complete Care Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

661788 Issued in MD

Legal business name

COMPLETE CARE MEDICAL CENTER INC

Practice address

4522 Beech Rd
Temple Hills, MD 20748-6704

Phone

(301) 316-2009

Fax

(301) 316-2015

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Anna M Thompson

Title

Vice Pres

Phone

(301) 316-2009

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suja T Thrasybule, M.D.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1790811255
  NPD (past)
• Newton Andrews, MD

  • Cardiovascular Disease Physician
  • Washington, DC
  • NPI 1245399369
  NPD (past)
• Wayne P Davis, MD

  • Pulmonary Disease Physician
  • Washington, DC
  • NPI 1285743880
  NPD (past)
• Robert Whiting Wilson Jr., M.D.

  • Adult Medicine Physician
  • Reston, VA
  • NPI 1386757482
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053448381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 BEECH RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486704",
            "telephone_number": "301-316-2009",
            "fax_number": "301-316-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 BEECH RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486704",
            "telephone_number": "301-316-2009",
            "fax_number": "301-316-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "301-316-2009"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "661788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren D. Colston, PSY.D.
• Communication Builders Therapeutic Services, LLC
• Community Resiliency Initiative
• Compassionate Angels Healthcare LLC
• Complete Care Medical Care
• Connextion Health and Screening Services
• Tisha Lanette Corbett-Jones
• Cos LLC
• Eugene Crim Jr.
• Gina Mekeale Crump, CNA, CMT,

• Family Medicine Physician in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.