Dotrim, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D51083 Issued in MD

Legal business name

DOTRIM, LLC

Practice address

831 University Blvd E
Suite 23
Silver Spring, MD 20903-2916

Phone

(301) 434-3500

Fax

(301) 434-5773

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yisa Olanrewau Yussuf, MD

Title

Owner

Phone

(301) 434-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• doctrim primary care Doing business as

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1306034376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E",
            "address_2": "SUITE 23",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032916",
            "telephone_number": "301-434-3500",
            "fax_number": "301-434-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E",
            "address_2": "SUITE 23",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032916",
            "telephone_number": "301-434-3500",
            "fax_number": "301-434-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTRIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "YUSSUF",
        "authorized_official_first_name": "YISA",
        "authorized_official_middle_name": "OLANREWAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-434-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D51083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522300800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026893100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "doctrim primary care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarena Gormah Dorbor
• Forrestall Dorsett Jr., M.D.,M.B.A.
• Racquel Dos Santos, M.A.
• Weberlyn Dossen
• Solange Dossou
• Katherine Martin Dougherty, MSW
• Desire Agobet Douglas
• Kenita Kayela Douglas
• Stephanie Marie Douglas, AU.D.
• Helene Dounwou

• Internal Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.