Organization Active NPI

Family Medical & Rehab Center

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1235308248
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D00061946 Issued in MD
Legal business name
FAMILY MEDICAL & REHAB CENTER
Practice address
610 Professional Dr
235
Gaithersburg, MD 20879-3413
Phone
(301) 740-8551
Fax
(301) 740-9056
NPI assigned
Feb 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Authorized official

Name
Enoh Edet Akpandak, MDNPI 1992805964
Title
Meeical Director
Phone
(301) 740-9055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D00061946 MD Primary

Addresses

Primary practice location

610 Professional Dr
235
Gaithersburg, MD 20879-3413

Mailing address

610 Professional Dr
235
Gaithersburg, MD 20879-3413
Phone (301) 740-8551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203724800000",
    "number": "1235308248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "235",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "301-740-8551",
            "fax_number": "301-740-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "235",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "301-740-8551",
            "fax_number": "301-740-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A",
        "authorized_official_last_name": "AKPANDAK",
        "authorized_official_first_name": "ENOH",
        "authorized_official_middle_name": "EDET",
        "authorized_official_title_or_position": "MEEICAL DIRECTOR",
        "authorized_official_telephone_number": "301-740-9055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D00061946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.