Potomac Lighthouse PCS

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

POTOMAC LIGHTHOUSE PCS

Practice address

4401 8TH St NE
Washington, DC 20017-2200

Phone

(202) 526-6003

Fax

(202) 526-6005

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Ramon Richardson

Title

Principal

Phone

(202) 526-6003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1124365325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 8TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172200",
            "telephone_number": "202-526-6003",
            "fax_number": "202-526-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 8TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172200",
            "telephone_number": "202-526-6003",
            "fax_number": "202-526-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC LIGHTHOUSE PCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "202-526-6003"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Potolicchio
• Potomac Internists, P.C.
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• Michael Pottash, M.D.
• Barry M. Potter, M.D.

• Local Education Agency (LEA) in Washington, DC
• Providers in Washington, DC by specialty
• Local Education Agency (LEA) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.