Organization Active NPI

Geewab Medicals LLC

  • Primary Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1164186227
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GEEWAB MEDICALS LLC
Practice address
13 C St Ste a
Laurel, MD 20707-4152
Phone
(301) 356-3379
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Dr. Glory Ihuoma Wabeke, DNP, CRNPNPI 1598432429
Title
Nurse Practitioner
Phone
(443) 554-0259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

13 C St Ste a
Laurel, MD 20707-4152

Mailing address

14502 Greenview Dr Ste 500
Laurel, MD 20708-4245
Phone (301) 356-3379

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR-Kareo

National Provider Directory

National Provider Directory

Locations

13 C St
Ste A
Laurel, MD 20707
Phone (301) 356-3379

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1164186227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 500",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084245",
            "telephone_number": "301-356-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 C ST STE A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074152",
            "telephone_number": "301-356-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEEWAB MEDICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "WABEKE",
        "authorized_official_first_name": "GLORY",
        "authorized_official_middle_name": "IHUOMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-554-0259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR-Kareo",
            "affiliation": "N",
            "address_1": "13 C St Ste A",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207074152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.