NPIMap

Organization Active NPI

Not-for-Profit Hospital Corporation

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1184932014
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NOT-FOR-PROFIT HOSPITAL CORPORATION
Practice address
1310 Southern Ave SE
Washington, DC 20032
Phone
(202) 688-4677
Fax
(202) 574-7188
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Chinor L Collick Jr., RN
Title
Medical Practice Administrator
Phone
(202) 574-6933

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1310 Southern Ave SE
Washington, DC 20032

Mailing address

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 688-4677

Other identifiers 2

IdentifierTypeStateIssuer
414011700MedicaidMD
092342700MedicaidDC

Other names 1

  • United Medical Center Other name

National Provider Directory

National Provider Directory

Locations

1328 Southern Ave SE
Ste 305
Washington, DC 20032
Phone (202) 563-2912

1328 Southern Ave SE
Ste 306
Washington, DC 20032
Phone (202) 563-1100

1328 Southern Ave SE
Ste 309
Washington, DC 20032
Phone (202) 574-9018

1310 Southern Ave SE
Ste 2004
Washington, DC 20032

1328 Southern Ave SE
Ste 302
Washington, DC 20032
Phone (202) 574-4666

1037 Sterling Rd
Ste 102
Herndon, VA 20170
Phone (703) 435-7132

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1184932014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-688-4677",
            "fax_number": "202-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-688-4677",
            "fax_number": "202-574-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOT-FOR-PROFIT HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "COLLICK",
        "authorized_official_first_name": "CHINOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "202-574-6933",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414011700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092342700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "United Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.