NPIMap

Organization Active NPI

Fort Washington Physicians Group

  • Hospitalist Physician
  • Fort Washington, MD
National Provider Identifier
1306062880
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
FORT WASHINGTON PHYSICIANS GROUP
Practice address
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone
(301) 203-2000
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Laleh Mosavati
Title
Office Manager
Phone
(301) 983-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

11711 Livingston Rd
Fort Washington, MD 20744-5151

Mailing address

PO Box 64312
Baltimore, MD 21264-4312
Phone (301) 983-6656

Other identifiers 1

IdentifierTypeStateIssuer
N012OtherDCCAREFIRST OF DC GROUP NUM

National Provider Directory

National Provider Directory

Locations

6196 Oxon Hill Rd
Ste 300
Oxon Hill, MD 20745
Phone (301) 567-8000

Practitioners & affiliated clinicians

Practitioners 4

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1306062880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64312",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644312",
            "telephone_number": "301-983-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 LIVINGSTON RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445151",
            "telephone_number": "301-203-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WASHINGTON PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MOSAVATI",
        "authorized_official_first_name": "LALEH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-983-6656"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC GROUP NUM",
            "identifier": "N012",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.