NPIMap

Organization Active NPI

Advanced Healthcare Center, LLC

  • Obesity Medicine (Family Medicine) Physician
  • Laurel, MD
National Provider Identifier
1174702237
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
ADVANCED HEALTHCARE CENTER, LLC
Practice address
1046 West St
Laurel, MD 20707-3531
Phone
(301) 490-8383
Fax
(301) 490-9770
NPI assigned
Oct 25, 2007
Last updated
Jul 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Dr. Naomi Nmi Ihedioha, M.D.NPI 1386673507
Title
Owner/President
Phone
(301) 490-8383

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
Obesity Medicine (Family Medicine) Physician 207QB0002X NU Primary

Addresses

Primary practice location

1046 West St
Laurel, MD 20707-3531

Mailing address

1046 West St
Laurel, MD 20707-3531
Phone (301) 490-8383

Other identifiers 1

IdentifierTypeStateIssuer
212300200MedicaidMD

National Provider Directory

National Provider Directory

Locations

1046 West St
Laurel, MD 20707
Phone (301) 490-8383

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1174702237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 WEST ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073531",
            "telephone_number": "301-490-8383",
            "fax_number": "301-490-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 WEST ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073531",
            "telephone_number": "301-490-8383",
            "fax_number": "301-490-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "IHEDIOHA",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-490-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212300200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "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 Jul 25, 2012; 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.