NPIMap

Organization Active NPI

Meridian Medical Associates, LLC

  • Health Educator
  • Oxon Hill, MD
National Provider Identifier
1053954693
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
MERIDIAN MEDICAL ASSOCIATES, LLC
Practice address
5620 Saint Barnabas Rd Ste 360
Oxon Hill, MD 20745-3628
Phone
(202) 735-4600
Fax
(240) 766-4502
NPI assigned
Oct 28, 2019
Organization subpart
Yes
Parent organization
MERIDIAN MEDICAL ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Morgan E Woods, PA
Title
Owner
Phone
(240) 766-4552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

5620 Saint Barnabas Rd Ste 360
Oxon Hill, MD 20745-3628

Mailing address

5620 Saint Barnabas Rd Ste 360
Oxon Hill, MD 20745-3628
Phone (202) 735-4600

Other identifiers 1

IdentifierTypeStateIssuer
577202800MedicaidMD

Other names 2

  • Meridian Diabetes Prevention Program Other name
  • Meridian Weight Loss Other name

National Provider Directory

National Provider Directory
Tax ID family
Meridian Med Assoc LLC2 organizations share this tax ID, including this one
Part of
Meridian Med Assoc LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHCDD

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1053954693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 SAINT BARNABAS RD STE 360",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453628",
            "telephone_number": "202-735-4600",
            "fax_number": "240-766-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 SAINT BARNABAS RD STE 360",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453628",
            "telephone_number": "202-735-4600",
            "fax_number": "240-766-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN MEDICAL ASSOCIATES LLC",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-766-4552",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577202800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Diabetes Prevention Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Meridian Weight Loss",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.