Active NPI
Yvette Oquendo, M.D.
- Family Medicine Physician
- Columbia, MD
National Provider Identifier
1225054091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0032753
- Practice address
- 5500 Knoll North Dr
Suite 370
Columbia, MD 21045-2370 - Phone
- (410) 884-7831
- Fax
- (410) 715-3734
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0032753 | MD | Primary |
Addresses
Primary practice location
5500 Knoll North Dr
Suite 370
Columbia, MD 21045-2370
Mailing address
5500 Knoll North Dr
Suite 370
Columbia, MD 21045-2370
Phone (410) 884-7831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0032753 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Physicians PA | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1790706844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1225054091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 KNOLL NORTH DR",
"address_2": "SUITE 370",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452370",
"telephone_number": "410-884-7831",
"fax_number": "410-715-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 KNOLL NORTH DR",
"address_2": "SUITE 370",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452370",
"telephone_number": "410-884-7831",
"fax_number": "410-715-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OQUENDO",
"first_name": "YVETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0032753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.