Organization Active NPI

Integrative Pediatrics of Olney Inc

  • Pediatric Adolescent Medicine Physician
  • Sandy Spring, MD
National Provider Identifier
1144565722
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D0054328 Issued in MD
Legal business name
INTEGRATIVE PEDIATRICS OF OLNEY INC
Practice address
17810 Meeting House Rd
Sandy Spring, MD 20860-1038
Phone
(301) 752-0616
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Authorized official

Name
Dr. Nitya Ramachandran, M. D
Title
President
Phone
(301) 752-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X D0054328 MD Primary

Addresses

Primary practice location

17810 Meeting House Rd
Sandy Spring, MD 20860-1038

Mailing address

17810 Meeting House Rd
Sandy Spring, MD 20860-1038
Phone (301) 752-0616

National Provider Directory

National Provider Directory

Locations

200 Park Ave
Falls Church, VA 22046
Phone (571) 634-3636

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393113600000",
    "number": "1144565722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 MEETING HOUSE RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601038",
            "telephone_number": "301-752-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 MEETING HOUSE RD",
            "city": "SANDY SPRING",
            "state": "MD",
            "postal_code": "208601038",
            "telephone_number": "301-752-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PEDIATRICS OF OLNEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2014-02-23",
        "status": "A",
        "authorized_official_last_name": "RAMACHANDRAN",
        "authorized_official_first_name": "NITYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-752-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0054328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.