Organization Active NPI

Uplift Medical

  • Multi-Specialty Clinic/Center
  • Temple Hills, MD
National Provider Identifier
1235330796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UPLIFT MEDICAL
Practice address
4333 Old Branch Ave
Temple Hills, MD 20748-1848
Phone
(301) 423-4551
Fax
(301) 423-4553
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Caryl Matthew
Title
Dir. of Operations
Phone
(301) 423-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4333 Old Branch Ave
Temple Hills, MD 20748-1848

Mailing address

3710 Riviera St Ste 2C
Temple Hills, MD 20748-1719
Phone (301) 423-4551

National Provider Directory

National Provider Directory
Tax ID family
Cignet Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235330796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 RIVIERA ST STE 2C",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481719",
            "telephone_number": "301-423-4551",
            "fax_number": "301-423-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481848",
            "telephone_number": "301-423-4551",
            "fax_number": "301-423-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "CARYL",
        "authorized_official_title_or_position": "DIR. OF OPERATIONS",
        "authorized_official_telephone_number": "301-423-4553"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.