Cecilia a Nwankwo M D F a a P P C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0037545 Issued in MD

Legal business name

CECILIA A NWANKWO M D F A A P P C

Practice address

17 Firstfield Rd
Suite 200
Gaithersburg, MD 20878-1774

Phone

(301) 330-4243

Fax

(301) 963-9114

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Cecilia Adaobi Nwankwo, M.DNPI 1467621623

Title

Medical Director

Phone

(301) 330-4243

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Capital Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Cecilia Adaobi Nwankwo, M.D

  • Pediatric Adolescent Medicine Physician
  • Gaithersburg, MD
  • NPI 1467621623
  NPD (past) Authorized official
• Annella Banks, CFNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
  • NPI 1356557359
  NPD (past)
• Amy Nwankwo, MD

  • Family Medicine Physician
  • Gaithersburg, MD
  • NPI 1467981167
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1164596862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FIRSTFIELD RD",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781774",
            "telephone_number": "301-330-4243",
            "fax_number": "301-963-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FIRSTFIELD RD",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781774",
            "telephone_number": "301-330-4243",
            "fax_number": "301-963-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA A NWANKWO M D F A A P P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "ADAOBI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-330-4243",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0037545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334511400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MD",
            "identifier": "0N05CA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PROVIDER NUMBER",
            "identifier": "A362",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Gaithersburg, MD
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.