Active NPI
Charles J Courtney
- Medical Specialty Clinic/Center
- Silver Spring, MD
National Provider Identifier
1225196751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022465600 | Medicaid | DC | |
| 765958000 | Medicaid | MD | |
| 009190813 | Medicaid | VA |
Other names 1
- Universal Artificial Limb
National Provider Directory
National Provider DirectoryLocations
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.