Miso Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MISO MEDICAL CENTER

Practice address

14440 Cherry Lane CT Ste 218
Laurel, MD 20707-4946

Phone

(240) 918-3829

Fax

(301) 547-7399

NPI assigned

Aug 23, 2021

Last updated

Jul 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ifeoma C Onyia

Title

Ceo

Phone

(240) 918-3829

Specialties & licenses 1

Addresses

Other names 1

• MISO Medical Center Other name

Tax ID family

Miso Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Miso Medical Center

  • Health Service Psychologist
  • Laurel, MD
  • NPI 1407516313
  NPD tax ID
• Miso Medical Center

  • Addiction (Substance Use Disorder) Counselor
  • Laurel, MD
  • NPI 1871252767
  NPD tax ID

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1235806829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT STE 218",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "240-918-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 CHERRY LANE CT STE 218",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074946",
            "telephone_number": "240-918-3829",
            "fax_number": "301-547-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "ONYIA",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-918-3829",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISO Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MISO Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mindscape Psychiatry, LLC (Mindscape Psychiatry)
• Minimally Invasive Vascular Center of Maryland LLC
• Therese Minkwiko, PMHNP
• Sidney Alonna Minor
• Mirab LLC (Transformations Center for Weight Loss-Laurel)
• Miso Medical Center
• Miso Medical Center
• Miso Medical Center
• Nadine Carole Missiet Fogoum, CRNP
• Mitchell a Barber DPM ASC LLC

• Clinic/Center in Laurel, MD
• Providers in Laurel, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.