NPIMap

Organization Active NPI

Lakewood Healthcare Center

  • Family Medicine Physician
  • Largo, MD
National Provider Identifier
1295910891
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKEWOOD HEALTHCARE CENTER
Practice address
1400 Mercantile LN Ste 180
Largo, MD 20774-5369
Phone
(301) 925-7002
Fax
(301) 925-4463
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Mrs. Monisola Adeyemo
Title
NP
Phone
(301) 925-7022

Specialties & licenses 1

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

Addresses

Primary practice location

1400 Mercantile LN Ste 180
Largo, MD 20774-5369

Mailing address

1400 Mercantile LN Ste 180
Largo, MD 20774-5369
Phone (301) 925-7002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1295910891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 180",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745369",
            "telephone_number": "301-925-7002",
            "fax_number": "301-925-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 180",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745369",
            "telephone_number": "301-925-7002",
            "fax_number": "301-925-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "MONISOLA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "301-925-7022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.