Organization Active NPI

Odo Medical Associates Inc

  • Anesthesiology Physician
  • Gaithersburg, MD
National Provider Identifier
1275772436
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0055686 Issued in MD
Legal business name
ODO MEDICAL ASSOCIATES INC
Practice address
350C Christopher Ave
Gaithersburg, MD 20879-3660
Phone
(301) 527-8783
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Ijeoma Uwanamodo
Title
Practice Manager
Phone
(301) 527-8783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X D0055686 MD Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X D0055686 MD

Addresses

Primary practice location

350C Christopher Ave
Gaithersburg, MD 20879-3660

Mailing address

350C Christopher Ave
Gaithersburg, MD 20879-3660
Phone (301) 527-8783

National Provider Directory

National Provider Directory

Locations

350 Christopher Ave
Ste C
Gaithersburg, MD 20879
Phone (301) 527-8783

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": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1275772436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350C CHRISTOPHER AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793660",
            "telephone_number": "301-527-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350C CHRISTOPHER AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793660",
            "telephone_number": "301-527-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODO MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "UWANAMODO",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-527-8783"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0055686",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0055686",
            "primary": false
        }
    ],
    "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 11, 2009; 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.