NPIMap

Organization Active NPI

MGMC LLC

Doing business as Medstar Georgetown Medical Canter

  • Specialist
  • Washington, DC
National Provider Identifier
1285833269
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MGMC LLC
Doing business as
Medstar Georgetown Medical Canter
Practice address
3800 Reservoir Rd NW
Department of Radiology
Washington, DC 20007-2113
Phone
(202) 444-1400
Fax
(202) 444-7993
NPI assigned
Jul 11, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MGMC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Andrew Weiss
Title
Director
Phone
(202) 444-7690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Department of Radiology
Washington, DC 20007-2113

Mailing address

2115 Wisconsin Ave NW
Suite 300
Washington, DC 20007-2265
Phone (202) 444-1400

Other names 1

  • Medstar Georgetown Medical Canter Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medstar Gerogetown Med12 organizations share this tax ID, including this one
Part of
Medstar Gerogetown Med

Other organizations with this tax ID 11

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

Locations

3900 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-0100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1285833269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WISCONSIN AVE NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072265",
            "telephone_number": "202-444-1400",
            "fax_number": "202-444-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-1400",
            "fax_number": "202-444-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGMC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MGMC LLC",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-444-7690"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medstar Georgetown Medical Canter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.