Active NPI
Fort Washington Medical Associates Now, LLC
- Internal Medicine Physician
- Fort Washington, MD
National Provider Identifier
1174067284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FORT WASHINGTON MEDICAL ASSOCIATES NOW, LLC
- Practice address
- 10709 Indian Head Hwy Ste C
Fort Washington, MD 20744-4036 - Phone
- (240) 493-7114
- Fax
- (301) 485-8231
- NPI assigned
- Dec 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reva Gill
- Title
- Medical Director
- Phone
- (301) 927-2711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10709 Indian Head Hwy Ste C
Fort Washington, MD 20744-4036
Mailing address
10709 Indian Head Hwy Ste C
Fort Washington, MD 20744-4036
Phone (240) 493-7114
National Provider Directory
National Provider DirectoryLocations
10709 Indian Head Hwy
Ste C
Ft Washington, MD 20744
Phone (240) 493-7114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1174067284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10709 INDIAN HEAD HWY STE C",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444036",
"telephone_number": "240-493-7114",
"fax_number": "301-485-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10709 INDIAN HEAD HWY STE C",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444036",
"telephone_number": "240-493-7114",
"fax_number": "301-485-8231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WASHINGTON MEDICAL ASSOCIATES NOW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "REVA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "301-927-2711"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.