Organization Active NPI

Charles J Courtney

  • Medical Specialty Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1225196751
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CHARLES J COURTNEY
Practice address
8625 16TH St
Silver Spring, MD 20910-2261
Phone
(301) 587-6892
Fax
(301) 587-2750
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Ms. Kathryn L Courtney
Title
MGR.
Phone
(301) 587-6892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8625 16TH St
Silver Spring, MD 20910-2261

Mailing address

8625 16TH St
Silver Spring, MD 20910-2261
Phone (301) 587-6892

Other identifiers 3

IdentifierTypeStateIssuer
022465600MedicaidDC
765958000MedicaidMD
009190813MedicaidVA

Other names 1

  • Universal Artificial Limb Doing business as

National Provider Directory

National Provider Directory

Locations

8625 16th St
Silver Spring, MD 20910
Phone (301) 587-6892

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1225196751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 16TH ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102261",
            "telephone_number": "301-587-6892",
            "fax_number": "301-587-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 16TH ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102261",
            "telephone_number": "301-587-6892",
            "fax_number": "301-587-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J COURTNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MGR.",
        "authorized_official_telephone_number": "301-587-6892",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022465600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765958000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190813",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Artificial Limb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.